Perinatal factors among children with neurodevelopmental disorders attending tertiary care hospitals in Dhaka city

Zohra, Fatima; Alam, Faruq; Sarkar, Mekhala; Faruque, Shahriar; Sajib, Mohammad Waliul Hasnat

doi:10.3329/bjpsy.v32i2.55126

Cited by 3 publications

(2 citation statements)

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“…In this study, among NDI cases at 3-months, maternal illness was observed in 21 (52.5%) mothers, prolonged labour in 29 (72.5%) cases. Zohra et al [20] found maternal physical illness in 66.1 % cases and a follow up study on high risk newborn found that maternal illness during pregnancy and prolonged delivery had significant adverse neurodevelopmental outcome [21].…”

Section: Discussionmentioning

confidence: 99%

Prediction of Neurodevelopmental Outcome of High-Risk Neonates: A study from a Tertiary Care Centre in Bangladesh

Banu¹,

Akhter

Fatema

et al. 2022

MJPCH

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Background: High-risk neonates are most vulnerable to develop neurodevelopmental impairment. Early identification and intervention can modify brain development and improve outcomes in neonates at risk for neurodevelopmental disorders. Objective: To predict the neurodevelopmental impairments (NDIs) in high-risk neonates. Methods: This observational study was conducted in the Department of Neonatology and Department of Paediatric Neurology, Institute of Paediatric Neurodisorder and Autism (IPNA), Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh from July 2019 to June 2020. A total of 85 high-risk term neonates were included in this study. A neurodevelopmental evaluation was completed using the rapid neurodevelopmental assessment instrument (RNDA) at neonatal (0 to 28 days) age and again at three months of age after a comprehensive history and clinical examination. Result: Among the enrolled 85 neonates at first assessment, NDI was found in 64.7% cases. Seizure was present in 49.4% cases and affected domains were cognition (48.2%), behavior (47.1%), hearing (45.9%), gross motor (41.2%), vision (42.3%), speech (42.3%), primitive reflexes (36.5 %) and fine motor (32.9%). At the age of 3 months, NDI was found in 47.1% and affected domains were gross motor (47.1%), speech (40.0%), fine motor (37.7%), vision (36.5%), cognition (36.5%), behavior (35.3%) and hearing (30.6%). The seizure was found in 29.4% of cases. A significant difference was found between the first and second assessment. Conclusion: NDI are common sequelae of high-risk neonates. The most frequently affected domains were gross motor, fine motor and speech. Thus, RNDA can be used to predict early NDI in high-risk newborns.

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Section: Discussionmentioning

confidence: 99%

Prediction of Neurodevelopmental Outcome of High-Risk Neonates: A study from a Tertiary Care Centre in Bangladesh

Banu¹,

Akhter

Fatema

et al. 2022

MJPCH

View full text Add to dashboard Cite

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“…Key fetal and neonatal factors included birth complications (82.6%), preterm birth (80%), low birth weight (75.6%), neonatal diseases (69.6%) like pneumonia (30%) and jaundice (20%), and birth asphyxia (61.7%). They advocated early detection of these factors to potentially prevent NDDs in children (Belhaouari et al, 2020). Similarly, Gopalkrishnan et al (2020) examined the association between NDDs and various risk factors in high socioeconomic families.…”

Section: Comorbid Familial Confounding and Environmental Risk Factorsmentioning

confidence: 99%

Common Comorbid and Interrelated Psychological Traits Among Children with Neurodevelopmental Disorders

Abojedi,

Rasras,

Obaid

2024

IJSE

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Background: Neurodevelopmental Disorders (NDDs) in children present with complex psychological and behavioral symptoms, often complicating clinical assessment. The study provides an overview on comorbid psychological traits or psychiatric disorders in children with NDDs in Palestine, specifically focusing on Autism Spectrum Disorder (ASD), Attention Deficit/Hyperactivity Disorder (ADHD), Specific Learning Disorder (SLD), and Intellectual Developmental Disorder (IDD). Method: Using a Descriptive Analytic approach, 175 mothers rated their children’s psychological traits using a questionnaire developed from DSM 5 TR and ICD 11th criteria. The questionnaire covered 11 domains of comorbidity. Results: Notable relations were found that necessitate clinical attention. Specific disorders like Phobic Disorder, Camouflage and Noli Me Tangere were more prevalent in children with ASD, while Phobic Disorder followed by Depression was evident in IDD. ADHD and SLD majorly exhibit Phobic Disorder and Anxiety Disorder. The study highlighted evident comorbidity and interrelation of certain psychological traits/disorders among NDDs. Conclusions: Recognizing comorbid psychological traits in assessment can enhance case management, recognize individual and cultural differences, and improve care for individuals with NDDs.

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Is Spastic Cerebral Palsy Common? Clinical Profile of Neuro-Motor Development: An Observational Study

Shanbhag,

Parmar,

Jeevannavar

et al. 2024

Crit Rev Phys Rehabil Med

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According to different studies conducted in the world, the most common neuro developmental disorders are CP, intellectual disability; communication disorders, autism spectrum disorder; attention-deficit/hyperactivity disorder; neurodevelopmental motor disorders, which spastic cerebral palsy is the most common physiological type of CP. But this physiological type of CP is likely to be different in developing countries like India, where the leading cause is birth asphyxia, seizures, low birth weight, and hyper-bilirubinemia. However, the data from our country is scant. Objectives of the study were to check the tone in children with neurodevelopmental disorders by using an objective tool called HAT, to classify children on HAT, and to document the risk factors associated with NDD. One hundred children with NDD visiting tertiary care hospital were evaluated using HAT and other scales like Modified Modified Ashworth Scale, Movement Disorder Childhood Rating Scale, and the functional level was assessed using GMFM 66 and GMFCS level. Out of 100 children, the most common muscle tone was mixed CP (n = 63) followed by spastic CP (n = 32). The most common cause for mixed type was birth asphyxia (n = 32), for spastic type it was preterm birth (n = 12). Mixed CP was the most common type of tone in children with neurodevelopmental disorders when assessed on HAT. CP was the most common medically diagnosed condition and in them birth asphyxia, neonatal seizures, low birth weight, and neonatal jaundice. Preterm deliveries were the common factors or causes.

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Perinatal factors among children with neurodevelopmental disorders attending tertiary care hospitals in Dhaka city

Cited by 3 publications

References 0 publications

Prediction of Neurodevelopmental Outcome of High-Risk Neonates: A study from a Tertiary Care Centre in Bangladesh

Prediction of Neurodevelopmental Outcome of High-Risk Neonates: A study from a Tertiary Care Centre in Bangladesh

Common Comorbid and Interrelated Psychological Traits Among Children with Neurodevelopmental Disorders

Is Spastic Cerebral Palsy Common? Clinical Profile of Neuro-Motor Development: An Observational Study

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