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Milestones of Development in Infancy: A Prospective Study in a Tertiary Level Hospital of Bangladesh
A Khatun1, A L Kabir, R B Habib
1Dr Asma Khatun, Assistant Professor (Pediatrics), CARe Medical College, Dhaka, Bangladesh;
Insights
Infant development milestones show no significant sex differences, except females slightly lead in language development. Socioeconomic status also influences developmental timing in infants.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Infant developmental milestones are crucial indicators of healthy growth.
- Factors like sex and socioeconomic status can influence the timing of these milestones.
- Understanding local patterns is essential for early identification of developmental delays.
Purpose of the Study:
- To determine the typical pattern of infant developmental milestones in Bangladesh.
- To compare milestone achievement between different sexes.
- To analyze the impact of socioeconomic conditions on infant development.
Main Methods:
- A hospital-based prospective study was conducted in Dhaka, Bangladesh.
- Healthy term newborns were assessed monthly for 60 developmental milestones from birth to 12 months.
- Infants were categorized by sex and socioeconomic group.
Main Results:
- No significant sex-based differences were observed in most developmental milestones.
- Female infants showed a slight advantage in language development compared to males.
- Socioeconomic status was identified as a significant factor influencing some psychomotor milestones.
Conclusions:
- While most developmental milestones are similar between sexes, language development shows a female advantage.
- Socioeconomic status plays a role in the timing of infant development.
- Further research is needed to explore these variations in greater detail.
Abstract:
The timing of milestone is influenced by many factors. Sex and socioeconomic status has significant effect to some psycomotor milestones. The study was conducted to determine the pattern of milestones of development of infants in our country and to compare it in different sex and socioeconomic condition. It was a hospital based prospective study done in Sir Sallimullah Medical College and Mitford Hospital, Dhaka, Bangladesh from October 2014 to November 2015. Healthy term newborn infants with average birth weight were included in this study and milestones of this birth cohort were assessed monthly from birth to 12 months of age by using a set of 60 milestones. Total number of 217 babies was enrolled but during follow up 0.9% developed meningitis, 43.7% was lost to follow up and 55.2% of the cohort was followed up to 12 months of age. Among 120 babies 51.7% were male, 48.3% were female babies and 51.7% belong to lower, 32.5% middle and 15.8% upper socioeconomic group. There was no significant difference between male and female infants achieving most of the milestones of development except in language development in which female infants were little bit higher than male infants.
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