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Published on: August 25, 2014
Correlation between high-risk pregnancy and developmental delay in children aged 4-60 months
Fatemeh Torabi1, Sedigheh Amir Ali Akbari, Saba Amiri
1Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
High-risk pregnancies are linked to developmental delays in children, particularly fine motor skills. This study highlights key risk factors and their impact on child development outcomes.
Area of Science:
- Pediatrics
- Obstetrics
- Developmental Psychology
Background:
- Increased survival rates of high-risk infants due to medical advances necessitate understanding long-term developmental impacts.
- This study investigates the association between high-risk pregnancies and developmental delays in young children.
Purpose of the Study:
- To examine the correlation between various high-risk pregnancy factors and developmental delay in children aged 4-60 months.
- To identify specific high-risk pregnancy indicators associated with developmental delays.
Main Methods:
- A descriptive study involving 401 mothers and their children (4-60 months) in Iran.
- Data collected using the Ages and Stage Questionnaire and analyzed with statistical tests including logistic regression.
- Sampling conducted in multiple stages.
Main Results:
- Prevalence of high-risk pregnancies was 80.5%, with 18.7% of children experiencing developmental delay.
- Significant correlations found between developmental delay and multiple pregnancies, low birth weight, habitual abortions, maternal medical disorders, and gestational diabetes.
- Logistic regression identified male gender, low birth weight, consanguineous marriage, and maternal medical disorders as significant predictors of developmental delay.
Conclusions:
- Certain high-risk pregnancy variables significantly correlate with developmental delay in children.
- A notable association exists between high-risk pregnancy and fine motor developmental delay.
Background:
The future development of children is considered more than ever now due to the advances in medical knowledge and thus the increase in survival rates of high-risk infants. This study investigated the correlation between high-risk pregnancy and developmental delay in children aged 4-60 months.
Methods:
This descriptive study was conducted on 401 mothers and their children (4-60 months) who visited health service centers affiliated to Isfahan University of Medical Sciences, Iran, in 2011. Sampling was carried out in several stages, and the Ages and Stage Questionnaire was completed by the participants. Data were analyzed with SPSS 18 software and independent t-test; Mann-Whitney and logistic-regression tests were used.
Results:
The average age of children in the low-risk pregnancy group was 22±16 months, and that in the high-risk pregnancy group was 18.9±14.8 months. The majority of children were female (53.1%). The prevalence of high-risk pregnancies was 80.5%, and the prevalence of developmental delay was 18.7%. Multiple pregnancies, low birth weight, habitual abortions, maternal medical disorders in pregnancy, and gestational diabetes had significant correlations with developmental delay in children (P<0.04). In the logistic model, male gender, low birth weight, family marriage, and maternal medical disorders during pregnancy showed significant correlations with developmental delay in children (P<0.05). Additionally, abnormal body mass index (BMI) and social and economic status showed probability values close to the significance level (P = 0.05), whereas other high-risk pregnancy variables had no correlation with developmental delay in children. A correlation between high-risk pregnancy and developmental delay (P = 0.002) and fine motor delay was observed (P = 0.02), but no correlation was observed between high-risk pregnancy and other developmental domains.
Conclusion:
This study showed that some high-risk pregnancy variables had a significant correlation with developmental delay. Moreover, a significant correlation was observed between high-risk pregnancy and fine motor developmental delay.
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