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Neurodevelopmental, functional and growth status of term low birth weight infants at eighteen months

M Juneja1, A Shankar, S Ramji

  • 1Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi 110 002, India.

Indian Pediatrics
|December 13, 2005
PubMed

Insights

Term infants with low birth weight (LBW) show disadvantages in growth and mental development by 18 months. Neonatal complications and socioeconomic factors impact neurodevelopmental outcomes.

Area of Science:

  • Pediatrics
  • Neurodevelopmental Pediatrics
  • Public Health

Background:

  • Low birth weight (LBW) is a significant global health concern.
  • Assessing long-term neurodevelopmental and growth outcomes in LBW infants is crucial.

Purpose of the Study:

  • To evaluate neurodevelopmental, functional, and growth status of term infants weighing 2000 g or less at 18 months.
  • To identify medical and social factors linked to adverse outcomes in LBW infants.

Main Methods:

  • A cohort of 50 LBW term infants and 30 controls were assessed at 18 months.
  • Evaluations included growth, audio-visual, neurological impairment, and motor/mental development using the Indian modification of Bayley Scales.
  • Detailed medical and social history was collected.

Main Results:

  • LBW infants had significantly lower mean Mental Development Quotient (91.51 vs. 102.02) compared to controls.
  • LBW infants showed significant lag in weight, length, and head circumference.
  • Neonatal complications correlated with abnormal motor outcomes; lower socioeconomic status and maternal education linked to adverse mental status.

Conclusions:

  • Term LBW infants face significant disadvantages in growth and mental development at 18 months.
  • Early identification and intervention are vital for improving outcomes in this vulnerable population.

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