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Published on: June 20, 2020
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.
Abstract:
For achieving the good health and wellbeing for all children, the main role of pediatrician and other health care professionals is to follow their development. We implemented developmental monitoring for 465 children at the age of 12 - 60 months, in the period of 4 years (2016 - 2019), using standard algorithm in which start is always with child history. It should be comprehensive, and must include a detailed prenatal, perinatal, and postnatal history. Obtained results showed that 16.13% of participants have some serious illness in family history, and the same percentage (16.13%) manifested serious perinatal problems which imposed the support in intensive care unit. Breastfeed are 49,46 % of children. Only 7,53 % are not completely vaccinated. About the parameters for the development, we obtained that 11,83 % were not walking at the time of the assessment, and 65,81 % were not speaking. Toilet control was negative, and in 75,27 % they still were wearing diapers. Allergic manifestations at the time when the assessment was done is present in 8,60%. Finally, serious illness in child past history was positive in 19.35 % of evaluated sample. We concluded that a good history is needed and indispensable in the assessment process, particularly when exogenous causes are identified as the risk for the developmental delay. Obtained positive answers are directory for further investigation as well to correlate risk-consequences relationship.
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