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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Preferential posture in infants; serious demands on health care]
M M Boere-Boonekamp1, A T van der Linden-Kuiper, P van Es
1Thuiszorg Centraal Twente, Consultatiebureau, Hengelo.
Insights
Preferential posture affects 8.2% of infants, with firstborns and premature babies at higher risk. This condition often leads to further medical evaluation and treatment for affected children.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Infant Health
Background:
- Preferential posture, a common condition in infants, requires understanding its prevalence and risk factors.
- Early identification and intervention are crucial for optimal infant development.
Purpose of the Study:
- To determine the prevalence of preferential posture in infants up to six months of age.
- To identify associated risk factors and referral rates for diagnostics and treatment.
Main Methods:
- A descriptive, controlled investigation was conducted across 167 Infant Health Care (IHC) centers in the Netherlands.
- 7609 infants were screened; data on preferential posture, risk factors, and referrals were collected for 623 affected infants and controls.
- A subset of 468 infants with preferential posture underwent re-examination after six months.
Main Results:
- The prevalence of preferential posture was 8.2%, most common in infants under 16 weeks.
- Risk factors included being a firstborn, premature birth, breech presentation, infant positioning, and feeding methods.
- 32% of infants with preferential posture were referred for further diagnostics and treatment within six months.
Conclusions:
- Preferential posture is a frequent condition in infants, necessitating referral and potential intervention in 2.5% of all cases up to six months.
- Understanding risk factors like infant positioning and feeding is key for early detection and management.
Objective:
To determine the prevalence of preferential posture in infants up to the age of six months; to determine the percentage of referrals for diagnostics and (or) treatment; to gather information about risk factors.
Setting:
Infant Health Care (IHC) centres in the Netherlands.
Design:
Descriptive controlled investigation.
Method:
During September 1995 a total of 7609 infants were examined by 167 IHC doctors for the presence of preferential posture. Data on the physical examination and on the occurrence of risk factors were registered for every child with preferential posture (n = 623) and for a next child of the same age and the same sex without preferential posture. Six months later 468 children with preferential posture were re-examined.
Results:
The prevalence of preferential posture was 8.2% and was highest in children below 16 weeks of age. The ratio boy:girl was 3:2. Firstborns, premature children and children in breech position at the time of delivery, had a higher risk for preferential posture. The position of the child after the first week of life and the way of feeding proved to be significant risk factors. After six months 32% of the children with preferential posture had been referred for additional diagnostics and, if necessary, treatment.
Conclusion:
Preferential posture is frequently observed and leads to referral, additional diagnostics and (or) treatment in 2.5% of all children up to 6 months of age.
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