Study of perinatal factors in children with developmental delay

Goli Sri Charan; Jayant Vagha

doi:10.18203/2349-3291.ijcp20164602

Authors

Goli Sri Charan Department of Pediatrics, Acharya Vinobha Bhave Rural Hospital, Jawaharlal Nehru Medical College, Maharashtra, India
Jayant Vagha Department of Pediatrics, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20164602

Keywords:

Birth asphyxia, DDST II Scale, Global developmental delay, Prematurity

Abstract

Background: Birth history gives important information in children with developmental delay. Developmental challenge in children is an emerging problem across the globe, which is largely associated with improved neonatal survival. The present study highlights the importance of birth history in children with developmental delay in our hospital. The objective of this study was to study the perinatal events in children with developmental delay.

Methods: Observational descriptive study was conducted on children between 6 months to 5 years who were admitted in Pediatric wards with suspected history of developmental delay. DDST II scale was performed on these children and children who failed on Denver II scale were recruited into the study. Birth history was noted in detail, if available, documentation of birth events was asked for and noted. Developmental history with developmental quotient (DQ), were noted in detail.

Results: 135 children had developmental delay, 113 (83.70%) were born by vaginal delivery and 22 (16.30%) were born by caesarian section, 46 (34.18%) had no cry at birth and remaining 89 (65.92%) had normal cry at birth. 104 (77.04%) were born by term gestation and 31 (22.96%) were born preterm. Birth weight was normal in 78 (57.7%) children, LBW was seen 47 (34.81%) and 5 children each with VLBW and ELBW and 35 (25.93%) were IUGR. On comparing the children born gestational age and birth body weight with all four domains, there was no significant difference.

Conclusions: Global developmental delay was more common in children born at preterm, low birth weight, IUGR and children who had birth asphyxia. Birth weight and gestational age did not significantly affect any particular domain of development.

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References

Illingworth RS. The Development of the Infant and the Young Child: Normal and Abnormal. Nair MKC, Elsevire, 10th edition; 2013:1-10.

Fawke J. Neurological outcomes following preterm birth. Semin Fetal Neonatal Med. 2007;12:374-82.

Nair MKC, Jana AK, Niswade AK. Editorial. Neonatal survival and Beyond. Indian Pediatr. 2005;42:985-8.

Goel KM, Gupta DK. Hutchison’s Pediatrics, 2nd edition; 2012:13-15.

Frankenburg WK, Dodds JB. The Denver developmental screening test. J Pediatr. 1967;71(2):181-91.

Thomaidis L, Zantopoulos GZ, Fouzas S, Mantagou L, Bakoula C, Konstantopoulos A. Predictors of severity and outcome of global developmental delay without definitive etiologic yield: a prospective observational study. BMC Pediatr. 2014;14:40.

Sachdeva S, Amir A, Alam S, Khan Z, Khalique N, Ansari MA. Global developmental delay and its determinants among urban infants and toddlers: a cross sectional study. Indian J Pediatr. 2010;77(9):975-80.

Tikaria A, Kabra M, Gupta N, Sapra S, Balakrishnan P, Gulati S, et al. Aetiology of global developmental delay in young children: experience from a tertiary care centre in India. Natl Med J India. 2010;23(6):324-9.

Nguefack S, Kamga KK, Moifo B, Chiabi A, Mah E, Mbonda E. Causes of developmental delay in children of 5 to 72 months old at the child neurology unit of Yaounde Gynaeco-Obstetric and Paediatric Hospital, Cameroon. Open J Pediatr. 2013;3(3):279-85.

Meliegy EE, Sabbagh HE. Etiologies ofdevelopmental delay in Egyptian children. Int J Ch. 2004:29-40.

Jain S, Chowdhury V, Juneja M, Kabra M, Pandey S, Singh A, et al. Intellectual disability in Indian children: experience with a stratified approach for etiological diagnosis. Indian Pediatr. 2013;50(12):1125-30.

Koul R, Al-Yahmedy M, Al-Futaisi A. Evaluation children with global developmental delay: a prospective study at sultan qaboos university hospital, Oman. Oman Med J. 2012;27(4):310-3.

Chen IC, Chen CL, Wong MK, Chung CY, Chen CH, Sun CH. Clinical analysis of 1048 children with developmental delay. Chang Gung Med J. 2002;25(11):743-50.

Teplin SW, Burchinal M, Johnson-Martin N, Humphry RA, Kraybill EN. Neurodevelopmental, health, and growth status at age 6 years of children with birth weights less than 1001 grams. J Pediatr. 1991;118(5):768-77.

Aylward GP, Pfeiffer SI, Wright A, Verhulst SJ. Outcome studies of low birth weight infants published in the last decade: a metaanalysis. J Pediatr. 1989;115(4):515-20.

Drillien CM, Thomson AJ, Burgoyne K. Low-birthweight children at early school-age: a longitudinal study. Dev Med Child Neurol. 1980;22(1):26-47.