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Selected Risk Factors of Developmental Delay in Polish Infants: A Case-Control Study

Author

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  • Marzena Drozd-Dąbrowska

    (Department of Epidemiology and Management, Pomeranian Medical University, 71-210 Szczecin, Poland)

  • Renata Trusewicz

    (Rehabilitation and Therapy Consulting Room “Corecta”, 71-410 Szczecin, Poland)

  • Maria Ganczak

    (Department of Epidemiology and Management, Pomeranian Medical University, 71-210 Szczecin, Poland)

Abstract

Despite a number of studies on the risk factors of developmental delay (DD) in children conducted in developed countries, Polish data are scarce, which hinder an early diagnosis and initiation of prevention/control measures. Objective: To assess selected risk factors of DD in infants. A case-control survey was conducted in 2017–2018 on 50 infants (≤1 year old) with DD and 104 healthy controls from three outpatient clinics in Szczecin, Poland. Data were collected using an anonymous questionnaire distributed among mothers. The most common risk factors in infants with DD were: Caesarian section (68%), infections (46%), and chronic diseases during pregnancy (48%). DD was significantly correlated with maternal infections and chronic diseases during pregnancy (both: p < 0.001), caesarian section ( p < 0.001), preterm birth ( p = 0.004), birth weight <2500 g ( p = 0.03), Apgar score ≤7 ( p < 0.01), prolonged hyperbilirubinemia ( p < 0.001), and no breast-feeding ( p = 0.04). This study reinforces multiple etiologies of DD. Preventive strategies regarding DD in Polish infants should focus on the pre/peri/postnatal risk factors identified in this study. Strategies that prevent and control such risk factors and those on early detection and intervention in high-risk infants are highly recommended.

Suggested Citation

  • Marzena Drozd-Dąbrowska & Renata Trusewicz & Maria Ganczak, 2018. "Selected Risk Factors of Developmental Delay in Polish Infants: A Case-Control Study," IJERPH, MDPI, vol. 15(12), pages 1-10, December.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2715-:d:187188
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    References listed on IDEAS

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    1. Firoozeh Sajedi & Mahbobeh Doulabi & Roshanak Vameghi & Alireza Baghban & Mohammad Mazaheri & Zohreh Mahmodi & Erfan Ghasemi, 2016. "Development of Children in Iran: A Systematic Review and Meta-Analysis," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(8), pages 145-145, August.
    2. Mairead Black & Sohinee Bhattacharya, 2018. "Cesarean section in China, Taiwan, and Hong Kong—A safe choice for women and clinicians?," PLOS Medicine, Public Library of Science, vol. 15(10), pages 1-3, October.
    3. James G Beeson & Caroline S E Homer & Christopher Morgan & Clara Menendez, 2018. "Multiple morbidities in pregnancy: Time for research, innovation, and action," PLOS Medicine, Public Library of Science, vol. 15(9), pages 1-4, September.
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    Cited by:

    1. Muliana Edi & Yit Siew Chin & Fui Chee Woon & Geeta Appannah & Poh Ying Lim & on behalf of the MICOS Research Group, 2021. "Inadequate Gestational Weight Gain and Exposure to Second-Hand Smoke during Pregnancy Increase the Risk of Low Birth Weight: A Cross-Sectional Study among Full-Term Infants," IJERPH, MDPI, vol. 18(3), pages 1-12, January.

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