E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors

Hetal Vora, Priti Shah, S H Mansuri.

Cited by (4)

Abstract
Background: Early detection of neurodevelopmental abnormalities is important because of possibility of instituting early intervention program for that child. Trivandrum developmental screening test (TDSC) has sensitivity of 66.7% and specificity of 78.8%. This makes it a reasonably good test to screen children.

Aims & Objective: To study the prevalence of developmental delay among children less than 2 years attending well baby clinic using TDSC and antecedents factors of developmental delay.

Material and Methods: This cross sectional study was conducted on 200 patients visiting well baby clinic starting from age of 1 month till 2 years. Study was conducted for a period of 3 months from February 2013 to May 2013. Details pertaining to exact age, term or preterm status, maternal and paternal h/o was taken. Developmental screening was done using TDSC chart. Bell, pen, keys were used for assessment along with chart. Results were analyzed using SPSS 16.0.

Results: Total of 200 patients was screened.181 children were found to be normal with 85.6%- 94.2 % CI. In 19 children, delay was found with 5.8%-14.4 % CI. Preterm, IUGR, respiratory distress, sepsis, seizures in neonatal period showed significant p value for developmental delay. Microcephaly patients when screened for TDSC showed developmental delay with p value less than 0.05.All growth parameters (head, weight and length) when less than third centile showed significant association to developmental delay. The study also showed linear regression curve significant for awareness of developmental as maternal education improves.

Conclusion: Developmental screening with TDSC showed developmental delay prevalence 9.5%. All children should be screened in well baby clinic for developmental delay. In India, sources have found prevalence of 1.5-2.5% of developmental delay in children less than 2 years of age. High incidence of our study can be due to study done at tertiary care centre. Preterm and IUGR were found to have developmental delay with significant p value. Various antecedentsÂ’ factors responsible for early brain injury showed significant p value. Hence every child attending well baby clinic should be screened for developmental delay with effective screening method such as TDSC.

Key words: Developmental delay, Trivendrum developmental screening test ,developmental screening, well baby clinic


 
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REFERENCES
1. Rydz D, Srour M, Oskoui M, MargetN, Shiller M, Birnbaum R. Screening for developmental delay in the setting of a community paediatric clinic; A prospective assessment of Parent - Report Questionnaires. Pediatrics. 2006;118:1178-1186. [DOI via Crossref]   
2. John C. Paul H. Identifying infants and young children with developmental disorders in the medical home; an algorithm for developmental surveillance and screening. Pediatrics. 2006;118:405-420. [DOI via Crossref]   
3. Nair M, Radhakrishnan S. Early childhood development in deprived urban settlements. Indian Pediatr. 2004;41:227-237.
4. Nair MK, George B, Philip E. Trivandrum Developmental Screening Chart. Indian Pediatr. 1991;28:869-72.
5. Nair M, George B, Padmamohan J, Sunitha R, Resmi V, Prasanna G. Developmental delay and disability among under-5 children in a rural ICDS Block. Indian Pediatr. 2009;46:75-78.
6. Woythaler MA, McCormick MC, Smith VC;Late preterm infants have worse 24-month neurodevelopmental outcomes than term infants. Pediatrics. 2011;127:622-29. [DOI via Crossref]   
7. Kerstjens JM, de Winter AF, Sollie KM, Maternal and pregnancy-related factors associated with developmentaldelay in moderately preterm-born children. Obstet Gynecol. 2013;121:727-33. [DOI via Crossref]   
8. Jennifer K Poon, Angela C LaRosa, G Shashidhar Pai. Developmental Delay: Timely Identification and Assessment. Indian Pediatr. 2010; 47: 415-422. [DOI via Crossref]   
9. Kerstjens JM, Bocca-Tjeertes IF, de Winter AF, Reijneveld SA, Bos AF. Neonatal morbidities and developmental delay in moderately preterm-born children. Pediatric. 2012;130:265-72. [DOI via Crossref]   
10. Sachdeva S, Amir A, Alam S. global developmental delay and its determinants among urban infants and toddlers; a cross sectional study. Indian J Pediatr. 2010;77:975-80. [DOI via Crossref]   
11. Nair MK, PS Rusell, Rekha RS. Validation of developmental assessment tool in aganwadis. Indian Pediatr. 2009;46:27-32.
12. Juneja M, Mohanty M, Jain R. Ages and Stages Questionnaire as a Screening Tool for developmental Delay in Indian Children. Indian Pediatr. 2012;49:457-461. [DOI via Crossref]   
13. Nair MKC, Babu G. Developmental assessment. Growth and Development. 2008;22:203-220.
14. Mallhi P, Singhi P. Screening Young Children for Delayed Development. Indian Pediatr. 1999;36:569-577.
15. McCormick M, McCarton C, Brooks-Gunn J, Belt P, Gross R. The infant health and development program; interim summary. J Dev Beh Pediatr. 1998;19:359-370. [DOI via Crossref]   

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How to Cite this Article
Pubmed Style

Hetal Vora, Priti Shah, S H Mansuri. A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors. Int J Med Sci Public Health. 2013; 2(4): 1084-1087. doi:10.5455/ijmsph.2013.060920131


Web Style

Hetal Vora, Priti Shah, S H Mansuri. A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors. https://www.ijmsph.com/?mno=41275 [Access: April 05, 2022]. doi:10.5455/ijmsph.2013.060920131


AMA (American Medical Association) Style

Hetal Vora, Priti Shah, S H Mansuri. A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors. Int J Med Sci Public Health. 2013; 2(4): 1084-1087. doi:10.5455/ijmsph.2013.060920131



Vancouver/ICMJE Style

Hetal Vora, Priti Shah, S H Mansuri. A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors. Int J Med Sci Public Health. (2013), [cited April 05, 2022]; 2(4): 1084-1087. doi:10.5455/ijmsph.2013.060920131



Harvard Style

Hetal Vora, Priti Shah, S H Mansuri (2013) A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors. Int J Med Sci Public Health, 2 (4), 1084-1087. doi:10.5455/ijmsph.2013.060920131



Turabian Style

Hetal Vora, Priti Shah, S H Mansuri. 2013. A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors. International Journal of Medical Science and Public Health, 2 (4), 1084-1087. doi:10.5455/ijmsph.2013.060920131



Chicago Style

Hetal Vora, Priti Shah, S H Mansuri. "A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors." International Journal of Medical Science and Public Health 2 (2013), 1084-1087. doi:10.5455/ijmsph.2013.060920131



MLA (The Modern Language Association) Style

Hetal Vora, Priti Shah, S H Mansuri. "A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors." International Journal of Medical Science and Public Health 2.4 (2013), 1084-1087. Print. doi:10.5455/ijmsph.2013.060920131



APA (American Psychological Association) Style

Hetal Vora, Priti Shah, S H Mansuri (2013) A study on Developmental delay among children less than 2 year attending Well Baby Clinic - Prevalence and antecedents factors. International Journal of Medical Science and Public Health, 2 (4), 1084-1087. doi:10.5455/ijmsph.2013.060920131





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