Multiple barriers exist for the family in the US not proficient in English. The purpose of this study was to evaluate the outcome of 91 VLBW infants residing in Non Eng homes compared to 266 infants in monolingual Eng speaking homes evaluated at 7, 18, and 36 mo. All infants were part of an indomethacin study for prevention of IVH. The hypothesis was that infants in Non Eng homes would have more neonatal morbidities, ↑ neurologic morbidity and ↓ test scores then controls. There were no differences in the incidence of IVH or admin. of indomethacin. Table

Table 1

Neonatal characteristics of the groups were similar,except for the incidence of BPD which was higher in the Monolinguals. The CP rate was similar. Developmental scores were sig. lower for infants in Non-Eng. homes by 18 to 36 mo. These data suggest that developmental vulnerability of the Non-Eng. infant ↑after discharge and post discharge intervention and support are strongly needed.