developmental status of 5 year old very low birthweight children
Iranian Journal of Child Neurology,
Vol. 15 No. 3 (2021),
1 July 2021
https://doi.org/10.22037/ijcn.v15i2.18702
Abstract
Abstract
Objective
Some previous reports mentioned the improved survival with no disability in very low birthweight neonates (VLBW), However, 16% of these neonates encountered with the developmental disorders. Regarding the lack of previous investigations on the developmental status of 5 year old very low birthweight children, and according to the importance of early detection and treatment, we aimed to assess the developmental status of 5 year old very low birthweight children
Materials & Methods
This is a historical cohort study which was conducted on 5 year old children. Participants were divided into VLBW and normal birth weight groups (NBW). Data were gathered buy the ASQ questionnaire. This questionnaire consisted of 5 developmental domains including communication, gross motor, fine motor, problem solving, and personal-social skills. Data were reported by descriptive statistics including mean, standard deviation, number and percent and analyzed by Mann Whitney U test, and independent T test in SPSS v 22.
Results
A total of 106 five-year-old children, including two groups of VLBW and NBW, participated in this study. The results of Mann-Whitney U test showed a significant difference between the groups regarding the scores of communication (P=0.002), gross motor (P<0.001), fine motor (P<0.001), and problem-solving (P<0.001) skills. However, no significant difference was found between the groups regarding the personal/social developmental status (P=0.559).
Conclusion
According to the results, higher risk of developmental delay was observed in VLBW infants compared to normal weight neonates, therefore, it is recommended to perform developmental screening tests for on time detection of high risk children and performing early diagnostic and therapeutic interventions.
- Developmental delay; Child, ASQ; VLBW
How to Cite
References
Bernardo J, Friedman H, Minich N, Taylor HG, Wilson-Costello D, Hack M. Cognitive and motor function of neurologically impaired extremely low birth weight children. Paediatrics & child health. 2015;20(6):e33.
Hack M. Survival and neurodevelopmental outcomes of preterm infants. Journal of pediatric gastroenterology and nutrition. 2007;45:S141-S2.
Claas M, Bruinse H, Koopman C, Van Haastert I, Peelen L, De Vries L. Two-year neurodevelopmental outcome of preterm born children≤ 750 g at birth. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2010:fetalneonatal174433.
Riley K, Roth S, Sellwood M, Wyatt J. Survival and neurodevelopmental morbidity at 1 year of age following extremely preterm delivery over a 20‐year period: a single centre cohort study. Acta Paediatrica. 2008;97(2):159-65.
Halfon N, Houtrow A, Larson K, Newacheck PW. The changing landscape of disability in childhood. The Future of Children. 2012;22(1):13-42.
Glascoe FP. Evidence-based early detection of developmental-behavioral problems in primary care: what to expect and how to do it. Journal of Pediatric Health Care. 2015;29(1):46-53.
Schonhaut L, Armijo I, Schönstedt M, Alvarez J, Cordero M. Validity of the ages and stages questionnaires in term and preterm infants. Pediatrics. 2013;131(5):e1468-e74.
Morelli DL, Pati S, Butler A, Blum NJ, Gerdes M, Pinto-Martin J, et al. Challenges to implementation of developmental screening in urban primary care: a mixed methods study. BMC pediatrics. 2014;14(1):1.
Juneja M, Mohanty M, Jain R, Ramji S. Ages and Stages Questionnaire as a screening tool for developmental delay in Indian children. Indian pediatrics. 2012;49(6):457-61.
Karimi M, Fallah R, Dehghanpoor A, Mirzaei M. Developmental status of 5-year-old moderate low birth weight children. Brain and Development. 2011;33(8):651-5.
Klamer A, Lando A, Pinborg A, Greisen G. Ages and Stages Questionnaire used to measure cognitive deficit in children born extremely preterm. Acta Paediatrica. 2005;94(9):1327-9.
Cooke R, Foulder-Hughes L. Growth impairment in the very preterm and cognitive and motor performance at 7 years. Archives of Disease in Childhood. 2003;88(6):482-7.
Reuner G, Hassenpflug A, Pietz J, Philippi H. Long-term development of low-risk low birth weight preterm born infants: neurodevelopmental aspects from childhood to late adolescence. Early human development. 2009;85(7):409-13.
Datar A, Jacknowitz A. Birth weight effects on children’s mental, motor, and physical development: evidence from twins data. Maternal and child health journal. 2009;13(6):780-94.
Boardman JD, Powers DA, Padilla YC, Hummer RA. Low birth weight, social factors, and developmental outcomes among children in the United States. Demography. 2002;39(2):353-68.
Schendel DE, Stockbauer JW, Hoffman HJ, Herman AA, Berg CJ, Schramm WF. Relation between very low birth weight and developmental delay among preschool children without disabilities. American Journal of Epidemiology. 1997;146(9):740-9.
Zhang G, Shao X, Lu C, Zhang X, Wang S, Ding H, et al. [Neurodevelopmental outcome of preterm infants discharged from NICU at 1 year of age and the effects of intervention compliance on neurodevelopmental outcome]. Zhongguo dang dai er ke za zhi= Chinese journal of contemporary pediatrics. 2007;9(3):193-7.
Ballot DE, Potterton J, Chirwa T, Hilburn N, Cooper PA. Developmental outcome of very low birth weight infants in a developing country. BMC pediatrics. 2012;12(1):1.
Pietz J, Peter J, Graf R, Rauterberg-Ruland I, Rupp A, Sontheimer D, et al. Physical growth and neurodevelopmental outcome of nonhandicapped low-risk children born preterm. Early human development. 2004;79(2):131-43.
- Abstract Viewed: 508 times