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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Factors associated with cognitive developmental delay risk in 12-month-old infants
Yanping Zhang1, Wei Li2, Xiaochun He3
1School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China.
Insights
Infant cognitive development risk is linked to factors like delivery method, maternal health, and caregiving. Early screening for these risks can guide interventions for better developmental outcomes.
Area of Science:
- Pediatric developmental neuroscience
- Public health
- Maternal and child health
Background:
- Cognitive developmental delay in infants poses significant long-term health challenges.
- Early identification of risk factors is crucial for timely intervention.
- Understanding modifiable factors can inform preventative strategies.
Purpose of the Study:
- To identify perinatal, familial, and caregiving factors associated with cognitive developmental delay in 12-month-old infants.
- To provide evidence supporting early risk screening and intervention strategies.
Main Methods:
- A case-control study involving 762 twelve-month-old infants was conducted.
- Infants were screened using the Denver Developmental Screening Test (DDST).
- Logistic regression analysis was used to evaluate perinatal, family, and caregiving factors.
Main Results:
- Cesarean delivery, maternal alcohol use during pregnancy, pre-pregnancy overweight/obesity, and abnormal gestational weight gain were identified as independent risk factors.
- Grandparental caregiving was also associated with increased risk.
- Higher paternal education and household income were found to be protective factors.
Conclusions:
- Cognitive developmental risk at 12 months is associated with various perinatal, familial, and caregiving factors.
- Comprehensive assessment of modifiable factors can aid in identifying infants at risk.
- Findings support targeted early prevention and intervention strategies for improved infant development.
Objective:
To identify factors associated with the risk of cognitive developmental delay in 12-month-old infants and provide evidence for early risk screening and intervention.
Methods:
A case-control study was conducted among 762 twelve-month-old children who underwent developmental screening with the Denver Developmental Screening Test (DDST) at Sichuan Provincial Maternity and Child Health Care Hospital from 2024 to 2025. Of these, 381 with suspected or abnormal development were assigned to the case group, and 381 with normal results served as controls. Perinatal, family, and caregiving factors were collected and were analyzed using univariate and multivariate logistic regression.
Results:
Cesarean delivery (OR = 1.42, 95% CI: 1.05-1.93), maternal alcohol use during pregnancy (OR = 9.12, 95% CI: 1.09-76.33), pre-pregnancy overweight (OR = 1.62, 95% CI: 1.02-2.58) and obesity (OR = 2.54, 95% CI: 1.08-5.95), inadequate (OR = 4.09, 95% CI: 1.74-9.62) or excessive (OR = 1.59, 95% CI: 1.10-2.29) gestational weight gain, and grandparental caregiving (OR = 1.80, 95% CI: 1.32-2.46) were independent risk factors. Higher paternal education (postgraduate or above; OR = 0.06, 95% CI: 0.01-0.56) and annual household income > 300,000 CNY (OR = 0.31, 95% CI: 0.12-0.80) were protective.
Conclusion:
Cognitive developmental risk at 12 months was associated with multiple perinatal, familial, and caregiving-related factors. A comprehensive assessment of potentially modifiable factors, including delivery mode, maternal weight status, gestational weight gain, prenatal alcohol exposure, and caregiving arrangements, may help identify infants at increased developmental risk and provide evidence for targeted early prevention and intervention strategies.
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