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

Zeena Salwa; Asma Begum Shilpi; Lutfun Nahar Begum

doi:10.18203/2349-3291.ijcp20240084

Authors

Zeena 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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