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Page 41
Volume 5
Journal of Pediatric Care
ISSN: 2471-805X
JOINT EVENT
Neonatology 2019
Pediatrics Surgery 2019
April 23-24, 2019
April 23-24, 2019 London, UK
&
23
rd
Edition of International Conference on
Neonatology and Perinatology
4
th
International Conference on
Pediatrics and Pediatric Surgery
A study on the neurodevelopment outcomes of late preterm infants
Bilal Haider Shamsi
Shenmu Hospital, China
Introduction:
The study is intended to fill the knowledge gap about the neuropsychology and neuro motor
developmental outcomes and identify the perinatal risk factors for late preterm infants (LPIs 34~36 weeks GA) born
with uncomplicated vaginal birth at the age of 24 to 30 months.
Methods:
The parents/guardians of 102 LPIs and 153 term infants, from 14 community health centers participated
in this study. The Modified Checklist for Autism in Toddlers (M-CHAT) questionnaire, the Chinese version of Gesell
Development Diagnosis Scale (GDDS) and the Sensory Integration Schedule (SIS), a neurological examination for
motor disorders (MD) were carried out. Infants screening positive to the M-CHAT were referred to specialist autism
clinics.
Results:
46 LPIs (45.1%) scored low in GDDS. 9 LPIs (8.8%) scored positive on M-Chat. 8.8% of LPIs (9 out of
102) were diagnosed MD (p<0.05). LPIs had statistically lower scores in GDDS and the Child Sensory Integration
Checklist. LPIs that had positive results on M-CHAT showed unbalanced abilities in every part of GDDS. Risk
factors of twin pregnancies, pregnancy induced hypertension and premature rupture of membranes had negative
correlation with GDDS (all p<0.05). Birth weight and gestational age were positively correlated with GDDS.
Conclusions:
LPIs shall be given special attention as compared to normal deliveries, as they are at increased risk of
neurodevelopment impairment, despite being born with no major problems. Some perinatal factors such as twin
pregnancies and pregnancy induced hypertension etc. have negative effects on their neurodevelopment. Regular
neurodevelopmental follow-up and early intervention can prove beneficial.
drhydi@outlook.comJ Pediatr Care 2019, Volume 5
DOI: 10.21767/2471-805X-C1-021