Environment as a risk factor in delayed development in premature, low-birthweight and mild asphyxia children

Hestu Putri Yanuarti1, Kusnandi Rusmil, Sjarif Hidajat Effendi

  • 1Department of Child Health, Medical School, Padjadjaran University, Bandung, Indonesia.

Insights

Low family income and not exclusively breastfeeding are significant risk factors for developmental delays in premature infants. These factors impact language and visual-motor development in vulnerable newborns.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Premature infants with low birthweight (LBW) and asphyxia face elevated risks for developmental delays.
  • Environmental factors like parental education, income, and feeding practices significantly influence child development.
  • Limited research in Indonesia highlights the need for data on environmental impacts on infant development.

Purpose of the Study:

  • To investigate the role of environmental factors as risks for delayed language and visual-motor development.
  • To provide crucial information for parents of premature, LBW infants with asphyxia in Indonesia.

Main Methods:

  • A cross-sectional study involving 70 children aged 12-24 months born premature, with LBW and mild asphyxia.
  • Developmental assessment using Capute scales for language and visual-motor skills.
  • Statistical analysis including chi-squared and multivariate logistic regression.

Main Results:

  • 49% of subjects exhibited delays in language and visual-motor development.
  • Non-exclusive breastfeeding (P < 0.001) and low family income (P < 0.05) were identified as significant environmental risk factors.
  • Non-exclusive breastfeeding showed a 175-fold increased risk, while low family income presented a 0.042-fold risk.

Conclusions:

  • Low family income and non-exclusive breastfeeding are critical risk factors for developmental delays in this vulnerable infant population.
  • Findings underscore the importance of socioeconomic support and optimal infant feeding practices for neurodevelopment.
Abstract

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