Neurodevelopmental Outcomes of Very Low Birth Weight Infants at 18-24 Months, Corrected Gestational Age in a Tertiary

Samuel P Oommen1, Sridhar Santhanam2, Hima John2

  • 1Developmental Pediatrics Unit, Christian Medical College, Vellore, Tamil Nadu, India.

Insights

Poor post-natal growth impacts neurodevelopment in very low birth weight (VLBW) infants. This study found 10.31% of VLBW survivors had poor outcomes, with growth being a key factor.

Area of Science:

  • Neonatology
  • Developmental Pediatrics
  • Public Health

Background:

  • Very low birth weight (VLBW) infants face significant risks for adverse neurodevelopmental outcomes.
  • Understanding regional variations in outcomes and risk factors is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of poor neurodevelopmental outcomes in VLBW survivors in South India.
  • To identify risk factors associated with these outcomes.

Main Methods:

  • A cohort of 643 VLBW survivors was identified.
  • Neurodevelopmental outcomes were assessed in 422 infants up to 24 months of age.
  • Multivariate analysis was used to identify independent risk factors.

Main Results:

  • 10.31% of assessed VLBW infants (359 children) exhibited poor neurodevelopmental outcomes.
  • Poor post-natal growth was significantly associated with poor neurodevelopmental outcomes (p=0.045).
  • Cerebral palsy, visual, and hearing impairments were noted in 1.67%, 0.28%, and 0.28% of infants, respectively.

Conclusions:

  • A substantial proportion of VLBW infants in this South Indian cohort experienced poor neurodevelopmental outcomes.
  • Poor post-natal growth emerged as a critical determinant of developmental outcomes, independent of neonatal complications.
  • These findings highlight the need for focused growth monitoring and support for VLBW infants.
Abstract

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