Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 3 Issue 6

Neurodevelopment of Infants with a Birth Weight ≤1500g at Two and Four Years of Age

Jiménez-Quiroz Rosalía1*, Hernández-Guerrero Diana1, Fernández-Carrocera Luis Alberto2, Alvarez-Ramírez3, Elizabeth Higareda Sánchez Jesús Javier4, Conde-Reyes María de la Paz1, Guido Campuzano Martina Angélica5, Castro-Soto, Laura6, Romero-Palencia Angélica7, García Alonso-Themann Patricia8 and Ibarra-Reyes María del Pilar9

1Psychology, Department of Pediatric Follow-up, National Institute of Perinatology, Mexico City, Mexico
2Neonatal Intensive Care Unit, National Institute of Perinatology, Mexico City, Mexico
3Social Psychology, Zaragoza Faculty of University Studies National Autonomous University of Mexico, Educational Psychology, National Pedagogical University, Mexico City, Mexico
4Department of Psychosocial Investigations, Faculty of Psychology, National Autonomous University of Mexico, Mexico City, Mexico
5Neonatology, Department of Pediatric Follow-up, National Institute of Perinatology, Mexico City, Mexico
6Neonatology, Women’s Hospital Mexico City, Mexico
7Institute of Health Sciences, Autonomous University of the State of Hidalgo, Pachuca, Hidalgo, Mexico
8Pediatrician, Department of Pediatric Follow-up, National Institute of Perinatology, Mexico City, Mexico
9Neuromotor Stimulation, Department of Pediatric Follow-up, National Institute of Perinatology, Mexico City, Mexico

*Corresponding Author: Jiménez-Quiroz Rosalía, Psychology, Department of Pediatric Follow-up, National Institute of Perinatology, Mexico City, Mexico.

Received: April 09, 2021; Published: May 11, 2021

Abstract

Background: Extremely low weight has been associated with a high risk of sequelae or Neurodevelopmental disorders, including personality disorders and emotional distress.

Objective: to learn the differences in neurodevelopment at 2 and 4 years of infants with a weight ≤1500g. Material and Methods: observational, analytical retrospective, comparative study of a cohort of children with a birth weight ≤1500g compared with children >1500g who attended the Pediatric Follow-up at the National Institute of Perinatology. BSID II and the Stanford-Binet Intelligence Scale by Terman-Merril 4th ed were used.

Results: 128 patients were included in the comparative analysis; significant differences were found in MDI and PDI of BSID II. For the group ≤1500 g presented a higher incidence in behavior (Orientation, Commitment and/or Emotional Regulation).

In the Intelligence Scale, the group of children <1500g at birth presented a statistically significant difference in all cognitive abilities and IQ.

Conclusions: At two and four years of age, children weighing <1500 grams have lower scores in neurodevelopment when compared to the group >1500 grams. Behavioral problems are a factor that influences MDI and PDI at two years of age.

Keywords: Neurodevelopment; Neuropsychology; Prematurity; Extremely Low Birth Weight

References

  1. Mendoza J. “Evaluación del Neurodesarrollo en niños con antecedente de peso menor a 1500 gramos”. UNAM Centro Médico Nacional 20 de noviembre ISSSTE (2010).
  2. Galindo D. “Alteraciones en el Neurodesarrollo de los prematuros egresados del servicio de neonatología”. Estudio de cohorte. UNAM ISSSTE (2011).
  3. Ares S and Díaz G. “Seguimiento del recién nacido prematuro y del niño de alto riesgo biológico”. Pediatria Integral 18 (2014): 334.
  4. Instituto Nacional de Estadística, Geografía e Informática. Tasa de mortalidad fetal general (cruda y estandarizada) por edad gestacional y peso (2018).
  5. Anuario Estadístico del Instituto Nacional de Perinatología (2017).
  6. Rivera Rueda MA., et al. “Morbilidad y mortalidad de neonatos <1500 g ingresados a la UCIN de un hospital de tercer nivel de atención”. Perinatología y Reproducción Humana4 (2018): 163-169.
  7. Confederación Nacional de Pediatría de México. Manual Neurodesarrollo y estimulación temprana en pediatría.
  8. Organización mundial de la Salud. “Nacimientos Prematuros”. Centro de prensa, nota descriptiva No. 363. (2017).
  9. Rellan Rodríguez S., et al. “El recién nacido prematuro. Protocolos Diagnóstico Terapeúticos de la Asociasión Española de Pediatría: Neonatologí”a (2008): 8.
  10. Castro-Delgado O., et al. “Muy bajo y extremo bajo peso al nacer”. Pediatría 49 (2016): 23-30.
  11. Fernández-Carrocera LA., et al. “El neurodesarrollo a los dos años de vida de neonatos tratados en una unidad de cuidados intensivos neonatales”. Pan American Journal of Public Health1 (1999): 29-35.
  12. Fernández Sierra C., et al. “Secuelas del neurodesarrollo de recién nacidos prematuros de extremadamente bajo peso y de muy bajo peso a los dos años de edad, egresados de la Unidad de Cuidados Intensivos Neonatales del Hospital Nacional Edgardo Rebagliati Martins 2009-2014”. Horizonte Médico (Lima) 2 (2017): 6-13.
  13. Aarnouds-Moens C., et al. “Meta-analysis of neurobehavioral outcomes in very preterm and/or very low birth weight children”. Pediatrics 124 (2009): 717-728.
  14. Ronda E., et al. “Ocupación Materna, duración de la gestación y bajo peso al Nacimiento”. Gaceta Sanitaria 23 (2009): 179-185.
  15. Ramírez B., et al. “Efecto del bajo peso al nacer sobre el desarrollo cognitive”. 53 (2013): 13-20.
  16. Beláustegui CA., et al. “La familia y los programas de seguimiento”. Neonatología centrada en la familia (2016).
  17. Sanchez Mosco DI. “Factores de riesgo para presentar alteraciones en el neurodesarrollo en pacientes pediátricos del servicio de reahilitación del Hospital General de México”. UNAM (2017).
  18. Gómez Andrés D., et al. “Desarrollo Neurológico normal del niño”. Pediatria Integral9 (2015): 640.el-640.e7.
  19. Medina A., et al. “Neurodesarrollo infantil: caracteristicas normales y signos de alarma en el niño menor de cinco años”. Revista Peruana de Medicina Experimental y Salud Publica3 (2015): 565-573.
  20. Cano-Giménez E., et al. “Condiciones neonatales y desarrollo mental y psicomotor: sus relaciones en niños muy prematuros a los 2 años de edad”. International Journal of Developmental and Educational Psychology1 (2011): 119-128.
  21. Oates J., et al. “El cerebro en desarrollo”. The Open University (2012).
  22. Portellano JA. “Neuropsicologia infantile”. Editorial Síntesi Madrid (2008): 81-191.
  23. Guerra Labrada A., et al. “Desarrollo de las funciones ejecutivas en escolares muy bajo peso al nacer”. Revista electrónica de Psicología Iztacala 4 (2011).
  24. Bordignon NA. “El desarrollo psicosocial de Eric Erikson. El diagrama epigenético del adulto”. Revista Lasallista de Investigación 2 (2005): 50-63.
  25. Papalia DE., et al. “Desarrollo Humano”. McGraw-Hill (2016).
  26. Oates J., et al. “El cerebro en desarrollo”. The Open University (2012).
  27. Bayley N. “Bayley Scales of Infant Development”. Second Edition. The Psychological Corporation (1993).
  28. Thorndike R., et al. “The Stanford-Binet Intelligence Scale”. Fourth Edition. The Riverside Publishing Company (1986).
  29. Alegría OA., et al. “Evolución neurosensorial en recién nacidos de muy bajo peso de nacimiento a los 2 años de edad corregida”. Revista Chilena De Pediatría4 (2002): 348-356.
  30. LP Torres-Arreola., et al. “Socioeconomic factors and low birth weight in Mexico”. BMC Public Health 5 (2005): 20-29.

Citation

Citation: Jiménez-Quiroz Rosalía., Aet al. “Neurodevelopment of Infants with a Birth Weight ≤1500g at Two and Four Years of Age”. Acta Scientific Women's Health 3.6 (2021): 03-10.

Copyright

Copyright: © 2021 Jiménez-Quiroz Rosalía., Aet al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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