Risk factors of delayed developmental milestones among infants attending RCH clinics in Dodoma region. A cross-sectional studydoma region

Helena Gemuhay, Saada Ali, Ally Kinyaga, S. Kibusi
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Abstract

Background: Delayed Developmental Milestones are defined as slow to attain typical developmental milestones in one or more developmental areas. This study aimed to assess risk factors of delayed developmental milestones among infants in the Dodoma Region. Methods: We conducted a health facility-based cross-sectional descriptive study using the pathways developmental screening tool. A total of 262 mothers with their children were enrolled, the study population were all neonates delivered at the study sites during the study period. Three data collection methods were utilized to obtain information for this study: observation, interviewer-administered questionnaires, and documentary review. Ethical approval was obtained from the Ethical Review Board of the University of Dodoma SAS version 9.4 was used for data analysis. The association between developmental status and factors was assessed with Chi-square and binomial logistic regression. Results: Notably, infants born with birth asphyxia were more likely three times to develop delayed developmental milestones as opposed to those without birth asphyxia [adjusted risk ratio =3.22, 95%, [1.97, 5.46], probability value= <.0001]. Birth weight was significantly associated with delayed developmental milestones; infants who were born with a birth weight of ≥4000gm had more risk of developing delayed developmental milestones compared to those with a birth weight of 2500-3999gm [adjusted risk ratio 0.48, 95%, [0.26, 0.92], probability value = 0.0256]. Regarding mode of delivery, the risk of developing delayed developmental milestones was less among infants born via caesarean section compared to those who were born via spontaneous vaginal delivery [adjusted risk ratio 0.47[0.18, 0.99], probability value = 0.0461]. Conclusion: Delayed developmental milestones are a burden in developing countries. The risk factors are known, and they are based on the individual to the community level; birth asphyxia was identified as a possible risk factor that has been reported in many studies and has an impact on children's development.
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多多马地区妇幼保健诊所就诊婴儿发育里程碑延迟的风险因素。一项横断面研究
背景:发育里程碑延迟被定义为在一个或多个发育领域迟迟达不到典型的发育里程碑。本研究旨在评估多多马地区婴儿发育里程碑延迟的风险因素:我们使用路径发育筛查工具开展了一项基于医疗机构的横断面描述性研究。共有 262 名母亲及其子女参加了研究,研究对象为研究期间在研究地点分娩的所有新生儿。本研究采用了三种数据收集方法来获取信息:观察、访谈者发放的问卷和文件审查。数据分析使用了 SAS 9.4 版,并获得了多多马大学伦理审查委员会的伦理批准。利用卡方检验和二项式逻辑回归评估了发育状况与各种因素之间的关联:值得注意的是,与没有出生窒息的婴儿相比,出生时窒息的婴儿发育里程碑延迟的可能性要高出三倍[调整风险比=3.22,95%,[1.97,5.46],概率值= <.0001]。出生体重与发育里程碑延迟明显相关;出生体重≥4000 毫克的婴儿与出生体重 2500-3999 毫克的婴儿相比,发育里程碑延迟的风险更高[调整后风险比为 0.48,95%,[0.26,0.92],概率值=0.0256]。在分娩方式方面,与经阴道自然分娩的婴儿相比,经剖腹产分娩的婴儿出现发育里程延迟的风险较低[调整风险比为 0.47[0.18,0.99],概率值 = 0.0461]:发育里程碑延迟是发展中国家的一个负担。已知的风险因素包括从个人到社区层面的因素;出生窒息被认为是一个可能的风险因素,许多研究都报道了这一因素,它对儿童的发育有影响。
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来源期刊
Tanzania Journal of Health Research
Tanzania Journal of Health Research Medicine-Medicine (all)
CiteScore
0.20
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0.00%
发文量
20
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