Development in Children born ≤ 2,000 grams in Surin Hospital
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Abstract
Background: At the present time, low birth weight infants have a higher survival percentage. They were at considerable risk for developmental delays, especially infants delivered weighing less than 2,000 grams.
Objective: To investigate the developmental outcome, outcomes after early intervention, and factors affecting developmental delays in infants born with birth weight less than 2,000 grams at Chaotuanoi clinic, Surin hospital.
Methods: A retrospective descriptive analysis was carried out using data from medical records of infants delivered with birth weight less than 2,000 grams between January 1, 2018 and December 31, 2020. The child's follow-up period was continued up to the age of two years old. Clinical information and complications were collected. The Denver development screening test (DDST-II) was performed at corrected ages 2, 4, 6, 9, 12, 18, and 24 months. Infants with developmental delays got immediate assistance, within one month of being identified.
Results: A total of 157 cases were collected. They were male in 83 cases (52.9%), with a gestational age of 32.6 (± 2.9) weeks and a birth weight of 1,584.2 (± 282.3) grams. Global delayed development was 7.8%, 7.2%, 8.7%, 16.9%, 9.7%, 10.2%, and 15.1% at corrected ages 2, 4, 6, 9, 12, 18, and 24 months, respectively. The language was the most frequent part of delays among the study population. By the age of 24 months, 126 patients had been properly followed up on. There were 14 cases of GDD (11.1%) and 2 cases of developmental language disorder (1.6%). There were 3 cases (2.4%) in which the development returned to normal after the intervention. Throughout this study, GA less than 28 weeks was one of a significant risk factor for developmental delays.
Conclusions: Most of these infants had normal development at age 24 month. Early detection and early intervention are important. Should be concern during antenatal care to prevent premature delivery.
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