Influence of high-risk factors on early neurodevelopmental outcome of high-risk newborns and role of follow up compliance
Abstract
Aims and Objective: Influence of high-risk factors on early Neurodevelopmental and Neuromotor outcome at 3 months of corrected age and role of continued Newborn follow up care.
Participants: All high-risk newborn discharged from tertiary care level NICU were enrolled for study at discharge.
Method: In this prospective observational study, the influences of various sociodemographic factors as prematurity, birth weight, maternal education, family size, clinical profile, sociodemographic factors, parity, feeding patterns and follow up compliance on the neurodevelopmental outcome at 1 and 3 months of corrected age were studied.
Results: Prematurity, ELBW and VLBW infants, Male infants, Low socioeconomic status, disease-causing CNS injury ( Severe Birth asphyxia, meningitis), poor maternal education, mixed and top feeding, longer duration of NICU stay, poor follow-up attendance and compliance were significantly( p=<0.05) associated with poor neurodevelopmental outcome at 1 and 3 month of corrected age.
Conclusion: Collaborative efforts shall be made to educate the parents of high-risk newborns towards the need and importance of neonatal follow-up and early stimulation and intervention therapy to decrease the future neurodevelopment abnormality. Special attention shall be given to premature LBW infants of the less-educated mother, of poor socioeconomic status and residing in distant rural areas having poor access to specialized center-based services.
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