Factors affecting developmental outcome in children with down syndrome in Surin Hospital
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Abstract
The objective of this study is to analyze factors influencing the developmental outcome in children with Down syndrome at Surin Hospital during 2002-2004. The data collection were from the hospital medical record and Development clinic file. Pediatrician children with Down syndrome were studied. Most parents were from low socioeconomic status and low education. Seventy-one percent received genetic counseling by Pediatrician in the first 3 months for child rearing. Mothers were the most responsible in family (95.24%) There were 33.33% of congenital heart disease and 9.52% of congenital hypothyroidism. Some patients received early simulation program at age 1-2 month (14.28%) with regular follow up under this program (57.14%) Hearing evaluation at ago 15 month was 4.70%. Eighty five percents started speech therapy program after 15 months. Prior to 3 years of age, development quotient using CAT/CLAMS was evaluated. Borderline MR (14.29%) was noted. Children with Down syndrome who received genetic counseling, early stimulation program, speech therapy and regular health care had better developmental quotient compared with others who did not receive similar care and management.
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