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Birth and developmental correlates of birth weight in a sample of children with potential sensory processing disorder
Simone V Gill1, Teresa A May-Benson, Alison Teasdale
1Department of Occupational Therapy, Boston University, College of Health and Rehabilitation Sciences: Sargent College, 635 Commonwealth Avenue, Boston 02215, MA, USA. simvgill@bu.edu
Insights
Birth weight and gestational age influence infant development. Higher birth weights correlate with earlier milestones like sitting and walking, while birth complications are linked to lower birth weights in certain groups.
Area of Science:
- Pediatric Development
- Neonatal Health
- Infant Milestone Achievement
Background:
- Existing research often focuses on high-risk infants with specific birth weight and gestational age classifications.
- Limited studies explore the broad relationship between various birth weight and gestational age categories and developmental outcomes.
Purpose of the Study:
- To investigate the relationship between birth weight, birth history, and developmental milestone achievement across diverse infant classifications.
- To analyze how different birth weight and gestational age categories impact infant development.
Main Methods:
- Analysis of a convenience sample of 663 anonymized developmental histories from a pediatric outpatient occupational therapy clinic.
- Categorization of infants into three birth weight groups: low birth weight (LBW), normal birth weight (NBW), and high birth weight (HBW).
- Classification of infants into three gestational age categories relative to birth weight: small for gestational age (SGA), appropriate for gestational age (AGA), and large for gestational age (LGA).
Main Results:
- Infants classified as NBW, AGA, and SGA with birth complications had lower birth weights compared to those without complications.
- Larger birth weights were associated with earlier independent sitting in HBW infants, earlier solid food introduction in NBW infants, and earlier walking in LBW and NBW infants.
- Higher birth weights correlated with earlier rolling in LGA infants, earlier walking and speech in AGA infants, and earlier independent sitting in SGA and AGA infants.
Conclusions:
- Birth weight and gestational age categories offer distinct perspectives on infant birth history and developmental milestone achievement.
- These classifications are valuable for understanding variations in infant development and identifying potential areas for early intervention.
Background:
Most research examining birth history (i.e. related birth complications) and developmental milestone achievement follow outcomes for infants at-risk with very specific birth weight categories and gestational age classifications. The purpose of this study was to examine how birth weight relates to infants' birth histories and developmental milestone achievement when they fall into a variety of birth weight and gestational age categories.
Methods:
In the current study, we examined birth histories and onset ages for developmental milestones by analyzing a convenience sample of anonymous existing data from 663 developmental histories completed by parents at the time of an initial evaluation at a pediatric outpatient occupational therapy clinic. Infants fell into 3 birth weight categories; low birth weight (LBW), normal birth weight (NBW), and high birth weight (HBW) and 3 gestational age classifications considered with birth weight; small for gestational age (SGA), appropriate for gestational age (AGA), and large for gestational age (LGA).
Results:
NBW, AGA, and SGA infants with related birth complications had lower birth weights than infants without birth complications. Larger birth weights were associated with earlier ages for independent sitting for HBW infants, earlier ages for eating solids for NBW infants, and earlier walking onsets for LBW and NBW infants. Higher birth weights were also linked with rolling at a younger age for LGA infants, earlier walking and speaking words for AGA infants, and sooner independent sitting for SGA and AGA infants.
Conclusions:
Our findings suggest that birth weight and gestational age categories provide unique insights into infants' birth history and developmental milestone achievement.
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