Background The association between medically assisted reproduction and pregnancy planning on overall developmental outcomes of infants has been studied in relatively few studies. The availability of accurate tools for the early detection of developmental delays is a major issue. The purpose of this study is describing the average neurodevelopment of preterm infants and assessing the association between medically assisted reproduction, pregnancy planning and neurodevelopmental outcomes among Hungarian preterm infants. Methods Cross-sectional study of preterm infants with low birth weight (< 2500 g) and gestational age < 37 weeks (N = 171) who underwent developmental assessment using Bayley-III Screening Test (Bayley Scales of Infant and Toddler Development Screening Test – Third Edition) in three developmental domains (cognitive, language, motor) at 12 months of corrected age. We examined the developmental pattern of infants and the potential effects of medically assisted reproduction and pregnancy planning on Bayley-III Screening Test subscales. Information on the mode of conception and pregnancy planning was obtained through parental anamnesis. Results Concerning developmental delay, the language and motor subscales were the most affected. Examination of the mode of conception and developmental outcomes revealed higher neurodevelopmental skills in infants who were conceived through medically assisted reproduction. Significantly lower cognitive and language skills were found to be associated with unplanned pregnancies. Multi-way analysis of variance was conducted in order to assess the impact of the mode of conception and pregnancy planning on subscales. Conclusions We cannot unambiguously conclude that MAR and pregnancy planning had a solely positive effect on the development of preterm and low birth weight infants at 12 months of corrected age, but our results are vital for the design and implementation of further research.
Preterm and low birth weight infants are at higher risk of neurodevelopmental outcomes; breastfeeding offers several beneficial aspects for them. This study aimed to describe the average neurodevelopmental outcomes of preterm infants and examine the associations between neurodevelopment and breastfeeding among Hungarian preterm infants at 12 months of corrected age. 154 preterm infants with low birth weight (<2500 g) and their mothers were participated in this study. Bayley-III Screening Test (Bayley Scales of Infant and Toddler Development Screening Test, Third Edition) was administered to measure the cognitive, language and motor skills of infants; breastfeeding data was obtained through parental anamnesis. To analyze data, independent sample t-test or the Welch t-test, Mann-Whitney tests, Chi-square tests of independence and Spearman's rank correlation test were used to. Concerning the risk of developmental delay, Receptive and Expressive language and Fine motor subscales were the lowest. Examination of the associations between breastfeeding and neurodevelopmental performance identified significantly higher cognitive (U = 2047.5; P = 0.023) and fine motor (U = 2096.0; P = 0.037) skills in infants who were breastfed. We found significant positive correlations between the duration of breastfeeding and cognitive, expressive language and fine motor skills. The study draws the attention to the importance of breastfeeding and early screening. Further research is required to examine the casual relationship between neurodevelopmental outcomes and breastfeeding.
BackgroundPreterm and low birth weight infants are at higher risk of neurodevelopmental outcomes. Breastfeeding offers several beneficial aspects for them both physically and psychologically. This study aimed to describe the average neurodevelopmental outcomes of preterm infants and examine the associations between neurodevelopment and breastfeeding among Hungarian preterm infants at 12 months of corrected age.MethodsOne hundred fifty-four preterm infants with low birth weight (< 2500 g) and gestational age < 37 weeks and their mothers living in Hungary were participated in this cross-sectional examination. Bayley-III Screening Test (Bayley Scales of Infant and Toddler Development Screening Test, Third Edition) was administered to measure cognitive, language, and motor skills of infants. Breastfeeding data was obtained through parental anamnesis. To analyze data Mann-Whitney tests and Spearmen's rank correlation test were used to.ResultsConcerning risk of developmental delay, receptive and expressive language and fine motor subscales were the lowest. Examination of the duration of breastfeeding and neurodevelopmental performance identified higher neurodevelopmental outcomes in infants who were breastfed, significantly higher cognitive (U = 2047.5, p = 0.023) and fine motor (U = 2096.0, p = 0.037) skills were found. We identified significant positive correlations between the duration of breastfeeding and cognitive, expressive language and fine motor skills.ConclusionsBreastfed infants had better cognitive and fine motor skills at 12 months of corrected age, but we cannot unambiguously conclude that the duration of breastfeeding had a sole positive effect on the neurodevelopment at 12 months of corrected age. With the Bayley-III Screening Test we could identify the most affected skills in terms of risk for developmental delay, which are needed to improve.
Background The overall objective of the study is to improve the mental health of the age group below 18 years through the investigation of the intra-and inter-sectoral cooperation between local suppliers and to make the intensity and quality of collaborations measurable. In this paper, based on Hungarian and international literature, we aim at describing the current and future optimal cooperation between the members of the mental health care system and examine the possibilities for documenting and measuring cooperation. Methods Semi-structured interviews were recorded with the leaders or representatives of 12 public educational institutions, six social and six health institutions involvement of the relevant experts (N = 24). Results The function of the institutions belonging to these systems, as well as the daily work of the professionals working there, have a significant impact on the mental health of children in either positive or negative directions. After exploring the current situation, the cooperation of local suppliers and inter-institutional relations can highly increase the mental health improvement of the youth. Conclusion According to the results, the developing progress can be more effective through organising the different forms of care, sectors and professionals together to achieve a common goal.
Background The overall objective of the study is to improve the mental health of the age group below 18 years through the investigation of the intra-and inter-sectoral cooperation between local suppliers and to make the intensity and quality of collaborations measurable. In this paper, based on Hungarian and international literature, we aim at describing the current and future optimal cooperation between the members of the mental health care system and examine the possibilities for documenting and measuring cooperation. Methods Semi-structured interviews were recorded with the leaders or representatives of 12 public educational institutions, six social and six health institutions involvement of the relevant experts (N = 24) to explore data collection tools that can measure and document the cooperation of local health care providers. Results The function of the institutions belonging to these systems, as well as the daily work of the professionals working there, have a significant impact on the mental health of children in either positive or negative directions. After exploring the current situation, the cooperation of local suppliers and inter-institutional relations can highly improve the mental health of the youth. Conclusion According to the results, the developing progress can be more effective through organising the different forms of care, sectors and professionals together to achieve a common goal.
In recent years, more and more researchers have focused on studies of children with autism spectrum disorder (ASD), however, studying their siblings has gained less scientific interest. The present study focuses on siblings of children with ASD and assesses their characteristics in terms of emotional intelligence and empathy. Our sample consisted of n = 61 children in two age groups studied: 6-8 and 10-15 years old. Our experimental group consisted of n = 30 siblings of children with ASD, while our control group also consisted of n = 31 children with sibling relationships. Subjects completed two paper-and-pencil tests: the Reading the Mind in the Eyes Test (Children’s Version), and depending on the age group, the Emotional Intelligence Test (EIT 6-8 / EIT 10-15). We identified higher emotional intelligence and empathy in higher age groups. Among 6-8 years old siblings of children with ASD, higher scores were found to be. At the level of gender differences, girls performed more outstandingly in the tests examined. In our study, the 6-8 years old siblings of children with ASD can be characterized by a higher degree of emotional intelligence and empathy, however, we cannot draw conclusions in a representative way for the entire population.
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