Rapid neurodevelopmental assessment of newborn: a promise to ensure proper growth and development of all newborns in Bangladesh

Authors

  • Zena Salwa Department of Pediatrics and Child Development Center, Square Hospitals Limited, Dhaka, Bangladesh
  • Asma Begum Shilpi Department of Child Development Center, Square Hospitals Limited, Dhaka, Bangladesh
  • Lutfun Nahar Begum Department of Neonatology and Pediatrics, Square Hospitals Limited, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2349-3291.ijcp20240084

Keywords:

Neonates, Preterm, Neurodevelopment, Growth, Impairments, n-RNDA

Abstract

Background: Neonates are susceptible to neurodevelopmental impairments due to various factors. The aim of the study was to use the n-RNDA tool to identify such impairments in neonates, enabling early interventions for improved outcomes.

Methods: This facility-based cross-sectional study was conducted in Square Hospital Child Development Center from April 2019 to Nov 2021 with all neonates between ages of 15-28 days. A total 2928 neonates were enrolled and underwent n-RNDA assessment for detection of any types of neurodevelopmental impairments.

Results: Among 2928 enrolled neonates, 8.1% exhibited neurodevelopmental impairments. Majority (60.6%) were from the NICU. Impairments varied across domains, with gross motor skills (99.2%) being most prevalent. Causes included respiratory distress syndrome (74%), sepsis (60%), and others. The study population was primarily urban (99.1%), with 100% parental literacy.

Conclusions: The n-RNDA screening program for neonates facilitates early assessment, interventions, and long-term follow-up, potentially enhancing outcomes and quality of life. These findings advocate for policy development to institutionalize n-RNDA for early diagnoses and better outcomes in all neonates.

 

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Published

2024-01-25

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Original Research Articles