Cognitive, Language, and Visuomotor Abilities of Very Low Birthweight Infants at Corrected Age of Two Years

Kanya Mukhopadhyay1, Prahbhjot Malhi2, Jogender Kumar2

  • 1Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Correspondence to: Dr Kanya Mukhopadhyay, Professor, Neonatology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India. kanyapgi@gmail.com.

Indian Pediatrics
|February 11, 2020
PubMed

Insights

Very low birthweight infants often experience language and visuomotor delays. Infants who are small for their gestational age face a higher risk of these developmental delays at two years corrected age.

Area of Science:

  • Neonatal development
  • Pediatric neurology
  • Developmental pediatrics

Background:

  • Very low birthweight (VLBW) infants are at increased risk for developmental delays.
  • Early identification of language and visuomotor delays is crucial for timely intervention.
  • Understanding predictors of these delays can inform targeted support strategies.

Purpose of the Study:

  • To determine the prevalence of language and visuomotor delay in VLBW children at 2 years corrected age.
  • To identify predictors associated with these developmental delays.
  • To assess the relationship between birth characteristics and developmental outcomes.

Main Methods:

  • Prospective observational study of 164 VLBW infants (birthweight ≤1250 g).
  • Developmental assessment at 2 years corrected age using Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS).
  • Calculation of Development Quotient (DQ) and analysis of predictors.

Main Results:

  • 24% of VLBW children exhibited below-average Development Quotient (DQ) at 2 years corrected age.
  • Infants born small for gestational age (SGA) showed a significantly higher risk of below-average DQ (P=0.036).
  • Gestational age and socioeconomic status correlated positively with language development at 9 months and 2 years, respectively.

Conclusions:

  • The prevalence of language and visuomotor delay is high in VLBW infants.
  • Small for gestational age status is a significant predictor of increased risk for developmental delays in VLBW children.
  • Early developmental screening and targeted interventions are essential for VLBW populations.
Abstract

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