Academic journal article The Journal of Special Education and Rehabilitation

Developmental Follow-Up of High Risk Infants until the Age of Three

Academic journal article The Journal of Special Education and Rehabilitation

Developmental Follow-Up of High Risk Infants until the Age of Three

Article excerpt

Keywords: high risk infants, asphyxia, Griffiths Mental Development Scales, early developmental outcome, risk of neurodevelopment difficulties.

Abstract

The issue of downsizing the prenatal mortality in high risk infants opens up an important and complex problem: The quality of life of the high risk infants? The longitudinal developmental studies should give answer to the issue of neurodevelopment outcome and the neurological condition in this group of children, which also is the motive for doing this study.

The theory is consisted from these main elements: definition of the infants group with a high risk of neurodevelopment difficulties and the areas of neuromotor development that are assessed during the developmental monitoring (locomotorics, personal and social development, hearing and speech, hand and eye coordination, performance tests and practical reasoning).

The underlying purpose of this study was to determine the early development in high risk newborns through assessing their general psychomotor development and the separate developmental areas, and also determining the influence of asphyxia on their developmental abilities and determining the risk of probable neurodevelopment difficulties.

A group of 30 children born with high risk factors, preterm children born with very low birth weight (VLBW) and term children born with presence of Hypoxic Ishemic Encephalopathy - HIE-II was included in this study and, also, a control group consisting of 29 children born without high risk factors.

The developmental monitoring was done with the use of Griffiths Mental Development Scales (GMDS) for age 0-8.

The analysis of the data shows that the high risk infants have significantly lower general developmental outcome during the first three years of life than the control group. With use of a one-way ANOVA we were able to prove that there is a difference in the developmental outcome of these children in accordance with the level of severity of asphyxia. …

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