development delay

开发延迟
  • 文章类型: Journal Article
    出生的低出生体重(LBW)和早产的婴儿有发育迟缓和认知障碍的风险。这些缺陷可能导致终身学习困难和高风险行为。比较早产(PT)和足月(FT)组的婴儿和幼儿行为和发育指标,以提取执行功能(EF)的早期指标。目标是从标准化的婴儿评估中提取EF指标。在评估中比较PT(<2500克和<37周)和FT(>2500克和>37周),并从BSID-III中鉴定EF组分。使用多元线性模型来检查组差异。所有儿童(99PT和46FT)均接受了BayleyIII和DMQ评估,为期1(6-8个月)。在第二次会议期间,N=78PT和37FT(18-20个月),CBCL被添加到以前的评估中,和BRIEF-P被添加到以前的评估中,N=52PT和36FT(参见表1)。在所有3个疗程的BSID-III子测试和EF组件上发现了显着变化分数。PT组在18个月和36个月时对CBCL的行为关注也明显更多,并且在BRIEF-P上的得分低于FT同行。在3个疗程中,接受早期干预(EI)的出生PT的儿童数量(N=27,52%)增加。检查EF的早期指标支持早期识别的发展,这可能导致减少通常与早产相关的不良结局。
    Infants born low birth weight (LBW) and preterm are at risk for developmental delay and cognitive deficits. These deficits can lead to lifelong learning difficulties and high-risk behaviors. Preterm (PT) and full-term (FT) groups were compared across infant and toddler measures of behavior and development to extract early indicators of executive function (EF). The goal was to extract indicators of EF from standardized infant assessments. PT (<2500 grams and <37 weeks) and FT (> 2500 grams and >37 weeks) were compared across assessment and EF components were identified from the BSID-III. A multivariate linear model was used to examine group differences. All children (99 PT and 46 FT) were administered the Bayley III and the DMQ assessments for session 1 (6-8 months). During session 2, N=78 PT and 37 FT (18-20 months), the CBCL was added to previous assessments, and the BRIEF-P was added to previous assessments in session 3, N= 52 PT and 36 FT for session 3 (See Table 1). Significant change scores were found on BSID-III subtests and EF components across all 3 sessions. The PT group also showed significantly more behavioral concerns on the CBCL at 18 months and 36 months and had lower scores on the BRIEF-P than their FT peers. The number of children born PT (N = 27, 52%) who were in Early Intervention (EI) increased across the 3 sessions. Examining early indicators of EFs supported the development of early identification that could lead to decrease adverse outcomes often associated with preterm birth.
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  • 文章类型: Journal Article
    这项研究旨在描述六岁时胎儿生长受限儿童的神经发育。其次,我们试图证明可以改善或加剧这种发展的影响因素,以及可能选择处于危险中的人群来协助早期儿童支持的预测因素。
    这是一项针对70名FGR患儿的研究。FGR基于以下定义:出生体重低于第3百分位数或出生体重低于第10百分位数,血流动力学多普勒研究异常。通过Batelle发育量表评估6岁时的神经发育。在100分以下的全球发育商被认为是神经发育延迟。关于怀孕护理的所有变量,交付插曲,产后,新生儿护理,社会人口问题,并研究了第一年的支持需求。
    诊断时的平均胎龄为33.14周(标准差(SD=4.31),有32.9%的早发性诊断。分娩时的平均胎龄为35.61(SD=3.21),剖宫产率为64.3%。评估时儿童的平均年龄为76.20个月大(SD=3.70)。全球平均发展商为97.28(SD=13.97)。我们记录了全球开发延迟的57.1%。在认知的情况下,只有17.1%的儿童登记延误。运动和沟通技能是最常见的影响。我们发现,社会经济地位与全球发展商呈正相关,分娩时胎龄和大脑中动脉搏动指数与全球发育商呈正相关。
    我们发现更高的神经发育延迟率(57.1%)。我们可以将较高的分娩胎龄和较高的MCA百分位数与更好的全球神经发育商联系起来。
    This study aimed to describe neurodevelopment in fetal growth restriction children at the age of six. Secondly, we tried to demonstrate influencing factors that can improve or exacerbate this development, as well as predictive factors that might select a population at risk to assist with early childhood support.
    It was a study of 70 children affected with FGR. FGR was based on these definitions: birth weight below the 3rd percentile or birth weight below the 10th percentile with an abnormal hemodynamic Doppler study. Neurodevelopment was assessed at 6 years old by means of Batelle Development Inventory. A global development quotient under a 100 score was considered a neurodevelopment delay. All variables regarding pregnancy care, delivery episode, postpartum, neonatal care, sociodemographic issues, and the need for support in the first years were studied.
    The mean gestational age at diagnosis was 33.14 weeks (standard deviation (SD = 4.31), with 32.9% of early-onset diagnoses. The mean gestational age at delivery was 35.61 (SD = 3.21), and the cesarean rate was 64.3%. The average age of the children at the moment of the evaluation was 76.20-month-old (SD = 3.70). The mean global development quotient was 97.28 (SD = 13.97). We were able to record a 57.1% of global development delay. In the cases of cognition, only 17.1% of the children registered a delay. Motor and communication skills were the most frequently affected. We discovered that socioeconomic status was positively related to the global development quotient, as well as both gestational age at delivery and middle cerebral artery pulsatility index was positively related to the global development quotient.
    We found a higher neurodevelopment delay rate (57.1%). We could relate a higher gestational age at delivery and a higher MCA percentile with better global neurodevelopment quotients.
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  • 文章类型: Journal Article
    Postpartum depression (PPD) is the most common complication women experience after delivery. We aimed to examine the association of maternal PPD with delays in child development, in a population-based study, in the first two years of life.
    A nation-wide population-based historical cohort study in the setting of the Mother and Child Health Clinics in Israel, where infants are routinely evaluated for growth and development. Data were retrieved on 96,623 infants born in 2014-2015 whose mothers had PPD screening. Logistic regressions were used to estimate the associations of PPD with the achievements of developmental milestones, controlling for potential confounders.
    PPD was identified in 4,268 mothers (4.7%). PPD was associated with delays in language skills, including the production of voices in dialogue (OR=1.88, 95% CI: 1.41-2.52) and speaking 2-3 words (OR=1.24, 95% CI: 1.13-1.37). PPD was associated with about 1.5 times increased odds of delays in personal-social skills, including reacting to voices (OR=1.43, 95% CI: 1.22-1.67) and pointing to selected objects (OR=1.47 95% CI: 1.10-1.97). Associations were also seen with delays in fine motor and adaptive skills, such as pinching (OR=1.50, 95% CI: 1.20-1.86), and gross motor skills, such as ground crawling (OR=1.36, 95% CI: 1.15-1.60).
    In this population-based large cohort study, PPD as estimated in a national screening program, was associated with delays in early child development, which were shown in all assessed domains. Future studies should confirm our results and intervention programs should be developed to effectively minimize these gaps.
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