History Information's are Indispensable in Developmental Assessment of Children

Aneta Demerdzieva1, Nada Pop-Jordanova2

  • 1Acibadem Sistina Hospital, Skopje, R. N. Macedonia.

Insights

Comprehensive child history is crucial for identifying developmental delays. Detailed prenatal, perinatal, and postnatal information helps pinpoint risks and guide interventions for better child health outcomes.

Area of Science:

  • Pediatrics
  • Child Development
  • Public Health

Background:

  • Pediatrician's role in monitoring child development is vital for overall health and well-being.
  • Developmental monitoring utilizes a standard algorithm starting with comprehensive child history.

Purpose of the Study:

  • To assess developmental parameters in children aged 12-60 months.
  • To identify the prevalence of developmental delays and associated risk factors through detailed medical history.

Main Methods:

  • Developmental monitoring of 465 children over 4 years (2016-2019).
  • Utilized a standard algorithm beginning with comprehensive prenatal, perinatal, and postnatal history.
  • Assessed milestones like walking, speaking, toilet control, and vaccination status.

Main Results:

  • 16.13% had serious family illness history; 16.13% experienced perinatal problems requiring intensive care.
  • Developmental delays observed: 11.83% not walking, 65.81% not speaking, 75.27% not toilet trained.
  • Significant past illnesses (19.35%) and allergic manifestations (8.60%) were noted.

Conclusions:

  • A thorough child history is indispensable for developmental assessment.
  • Identifying exogenous causes through history is key to addressing developmental delays.
  • Findings guide further investigation into risk-consequence relationships for developmental outcomes.

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