Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 4 Issue 1

Neurodevelopmental Outcome of Preterm (32 - 36 weeks) Neonates Based on Developmental Assessment Scale for Indian Infants

Poorva Gohiya*

Assistant Professor, Department of Paediatrics, Gandhi Medical College, Bhopal, Madhya Pradesh, India

*Corresponding Author: Poorva Gohiya, Assistant Professor, Department of Paediatrics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.

Received: November 16, 2020; Published: February 11, 2021

×

Abstract

Objectives: To assess the neurodevelopment of preterm (32 - 36 weeks) NICU graduates till 1 year of age and factors affecting it.

Methods: This is a prospective cohort study where 160 preterm babies of gestational age 32-36 weeks were enrolled using purposive sampling for study and were followed up for a period of one year.

All the details of hospitalisation were recorded on a pretested proforma. These babies were followed till 1 year of age. Their development was assessed with Developmental Scale for Indian Infants (DASII).

Results: The mean gestational age was 33.92 ± 1.378 weeks. Study population comprises 57.5% females. The mean motor development quotient (DQ) was 73.3 ± 9.2 and motor delay observed was 35.2%. The mean mental DQ was 80.5 ± 8.2 and the mental delay was 13.2%.

Conclusion: We observed a neurodevelopmental delay of 34% in the preterm babies after gestational age correction. Using DASII scale, a significant delay was noted in memory, social interaction and language domains. Assessment of neurodevelopment and serial monitoring would guide to start early intervention to minimise the delay at an earlier stage.

Keywords: DASII; WHO

×

References

  1. WHO updated version of fact sheet on preterm birth statistics: 19 (2018).
  2. Sadeghzadeh M., et al. “Early and Late Outcome of Premature Newborns with History of Neonatal Intensive Care Units Admission at 6 Years Old in Zanjan, Northwestern Iran”. Iranian Journal of Child Neurology2 (2016): 67.
  3. Volpe JJ. “Neuronal proliferation, migration, organization, and myelination”. Neurology of the Newborn (2001): 45-99.
  4. Ballard JL., et al. “New Ballard Score, expanded to include extremely premature infants”. The Journal of Pediatrics 3 (1991): 417-423.
  5. Nair MK., et al. “Development and validation of Trivandrum Development Screening Chart for children aged 0-6 years [TDSC (0-6)]”. The Indian Journal of Pediatrics2 (2013): 248-255.
  6. Sudha Chaudhari. “Workshop on Developmental Assessment scales for Indian Infants DASII and Amiel Tison method”. Department of Pediatrics, TDH Morris child development centre (2017).
  7. Mukhopadhyay K., et al. “Neurodevelopmental and behavioral outcome of very low birth weight babies at corrected age of 2 years”. The Indian Journal of Pediatrics9 (2010): 963-967.
  8. Soleimani F., et al. “Long-term neurodevelopmental outcomes after preterm birth”. Iranian Red Crescent Medical Journal 6 (2014).
  9. Modi M., et al. “Growth and neurodevelopmental outcome of VLBW infants at 1 year corrected age”. Indian Pediatrics 6 (2013): 573-577.
  10. Chattopadhyay N and Mitra K. “Neurodevelopmental outcome of high risk newborns discharged from special care baby units in a rural district in India”. Journal of Public Health Research1 (2015): 318.
  11. Louthrenoo O., et al. “Neurodevelopmental Outcome of Late Preterm Infants at 12 Months of Age”. Clinics Mother Child Health202 (2015): 2.
  12. Pierrat V., et al. “Neurodevelopmental outcome at 2 years for preterm children born at 22 to 34 weeks’ gestation in France in 2011: EPIPAGE-2 cohort study”. BMJ (2017): 358.
  13. Zhang GQ., 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 Pediatrics3 (2007): 193-197.
  14. Shah PE., et al. “The paradox of prematurity: The behavioral vulnerability of late preterm infants and the cognitive susceptibility of very preterm infants at 36 months post-term”. Infant Behavior and Development 1 (2013): 50-62.
  15. Romeo DM., et al. “Neurodevelopmental outcome at 12 and 18 months in late preterm infants”. European Journal of Paediatric Neurology6 (2010): 503-507.
  16. Arpino C., et al. “Preterm birth and neurodevelopmental outcome: a review”. Child's Nervous System9 (2010): 1139-1149.
  17. Chaudhari S., et al. “Pune low birth weight study—Birth to adulthood—Cognitive development”. Indian Pediatrics 9 (2013): 853-857.
  18. Khan MR., et al. “Neurodevelopmental outcomes of premature infants at a tertiary care center in Pakistan”. Pediatric Neurology2 (2012): 109-113.
  19. Rand KM., et al. “Neonatal infection and later neurodevelopmental risk in the very preterm infant”. The Journal of Pediatrics 170 (2016): 97-104.
  20. Ferreira RC., et al. “Neonatal sepsis as a risk factor for neurodevelopmental changes in preterm infants with very low birth weight”. Jornal de Pediatria3 (2014): 293-299.
×

Citation

Citation: Poorva Gohiya. “Neurodevelopmental Outcome of Preterm (32 - 36 weeks) Neonates Based on Developmental Assessment Scale for Indian Infants". Acta Scientific Paediatrics 4.3 (2021): 35-41.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor0.695

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 20, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US