Preterm and low birth weight as risk factors for infant delayed development

Background In developed countries, birth weight of less than 1,500 g contributes in infant delayed development. It might be different in developing countries. Objective This study aimed to determine whether preterm infants with birth weight of 1,500 to 2,499 g are risk factors for delayed developmen...

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Main Authors: Anggraini Alam, Abdurachman Sukadi, Nelly Amalia Risan, Meita Dhamayanti
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2008-02-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/442
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author Anggraini Alam
Abdurachman Sukadi
Nelly Amalia Risan
Meita Dhamayanti
author_facet Anggraini Alam
Abdurachman Sukadi
Nelly Amalia Risan
Meita Dhamayanti
author_sort Anggraini Alam
collection DOAJ
description Background In developed countries, birth weight of less than 1,500 g contributes in infant delayed development. It might be different in developing countries. Objective This study aimed to determine whether preterm infants with birth weight of 1,500 to 2,499 g are risk factors for delayed development at 7-10 months of age. Methods We analyzed singleton infants at 7-10 months of corrected age, born with birth weight of 1,500 to 2,499 grams, preterm-appropriate for gestational age (or LBW group), and at 7-10 months of chronological age, born with birth weight >2,500 g-term-appropriate for gestational (non-LBW group) in a hospital- based retrospective cohort study. Data were taken from medical records in Hasan Sadikin Hospital, Bandung, from September 2003 to May 2004. We excluded infants with major congenital anomalies, hyaline membrane disease, assisted ventilation, or exchange transfusion. Multiple regression logistic analysis was performed for data analysis. Results The percentage of delayed development in LBW group was higher than in non-LBW group (17.1% vs. 1.6%). Logistic regression analysis revealed that low birth weight was a risk factor for delayed development (RR=5.13, 95%Cl 1.55;16.96, P=0.007). Other biological risk factors for delayed development are hyperbilirubinemia (RR=3.32, 95%Cl 1.29;8.54, P=0.013) and sepsis (RR=2.74, 95%Cl 1.15;6.52, P=0.023). Conclusions Preterm-appropriate for gestational age with birth weight of 1,500 to 2,499 g are risk factors for infant delayed development after being adjusted to other biological risk factors.
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spelling doaj.art-c084a378c0694a96aeaf8eef84ddfb1f2022-12-21T17:31:40ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2008-02-014811410.14238/pi48.1.2008.1-4327Preterm and low birth weight as risk factors for infant delayed developmentAnggraini AlamAbdurachman SukadiNelly Amalia RisanMeita DhamayantiBackground In developed countries, birth weight of less than 1,500 g contributes in infant delayed development. It might be different in developing countries. Objective This study aimed to determine whether preterm infants with birth weight of 1,500 to 2,499 g are risk factors for delayed development at 7-10 months of age. Methods We analyzed singleton infants at 7-10 months of corrected age, born with birth weight of 1,500 to 2,499 grams, preterm-appropriate for gestational age (or LBW group), and at 7-10 months of chronological age, born with birth weight >2,500 g-term-appropriate for gestational (non-LBW group) in a hospital- based retrospective cohort study. Data were taken from medical records in Hasan Sadikin Hospital, Bandung, from September 2003 to May 2004. We excluded infants with major congenital anomalies, hyaline membrane disease, assisted ventilation, or exchange transfusion. Multiple regression logistic analysis was performed for data analysis. Results The percentage of delayed development in LBW group was higher than in non-LBW group (17.1% vs. 1.6%). Logistic regression analysis revealed that low birth weight was a risk factor for delayed development (RR=5.13, 95%Cl 1.55;16.96, P=0.007). Other biological risk factors for delayed development are hyperbilirubinemia (RR=3.32, 95%Cl 1.29;8.54, P=0.013) and sepsis (RR=2.74, 95%Cl 1.15;6.52, P=0.023). Conclusions Preterm-appropriate for gestational age with birth weight of 1,500 to 2,499 g are risk factors for infant delayed development after being adjusted to other biological risk factors.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/442Pretermlow birth weightappropriate for gestational agedelayed developmentBayley Infant Neurodevelopment of Screener (BINS)
spellingShingle Anggraini Alam
Abdurachman Sukadi
Nelly Amalia Risan
Meita Dhamayanti
Preterm and low birth weight as risk factors for infant delayed development
Paediatrica Indonesiana
Preterm
low birth weight
appropriate for gestational age
delayed development
Bayley Infant Neurodevelopment of Screener (BINS)
title Preterm and low birth weight as risk factors for infant delayed development
title_full Preterm and low birth weight as risk factors for infant delayed development
title_fullStr Preterm and low birth weight as risk factors for infant delayed development
title_full_unstemmed Preterm and low birth weight as risk factors for infant delayed development
title_short Preterm and low birth weight as risk factors for infant delayed development
title_sort preterm and low birth weight as risk factors for infant delayed development
topic Preterm
low birth weight
appropriate for gestational age
delayed development
Bayley Infant Neurodevelopment of Screener (BINS)
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/442
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AT nellyamaliarisan pretermandlowbirthweightasriskfactorsforinfantdelayeddevelopment
AT meitadhamayanti pretermandlowbirthweightasriskfactorsforinfantdelayeddevelopment