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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.
Background:
Premature infants with low birthweight (LBW) and asphyxia are at high risk of delay of language and visual-motor development. Environmental risk factors contributing to the delay include parents' education, family income, number of children in the family, exclusive breast-feeding, and the mother's parenting time. Lack of research in Indonesia on premature, LBW and mild asphyxia children minimizes information to parents on the importance of an optimal environment. The aim of this study was to observe the role of the environment as a risk factor for delay in language and visual-motor development.
Methods:
A cross-sectional study was carried out from June to December 2011 of 12-24-month-old children born premature, with LBW and mild asphyxia at the Hasan Sadikin, Bandung City, and Muhammadiyah Hospitals. Language and visual-motor development were measured by Capute scales. Risk factors were analyzed using chi-squared test and multivariate logistic regression analysis.
Results:
Of the 70 subjects, 49% had language and visual-motor delay. Environmental factors related to the delay were low parental education, low family income, non-exclusive breast-feeding (P < 0.001) and full-time maternal parenting (P < 0.05). On multivariate analysis non-exclusive breast-feeding was associated with a 175-fold risk (prevalence rate [PR], 174.756; 95% confidence interval [CI]: 10.407-2934.516, P < 0.001), and low family income, a 0.042-fold risk (PR 0.042; 95%CI: 0.005-0.321, P < 0.05).
Conclusion:
Low family income and non-exclusive breast-feeding are risk factors for delay in language and visual-motor development in 12-24-month-old children born premature, with LBW and mild asphyxia.
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