Journal of Education and Health Promotion

Evaluation of growth and development pattern in normal, low and very low birth weight neonates at 18 months of age

Document Type : Original Article

Authors

. Zahra Abdeyazdan
. Soheila Ehsanpour 1
. Elahe Hemmati 2

1 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Science, Isfahan, Iran

2 Department of Midwifery, School of Nursing and Midwifery

Abstract
Introduction: Growth and development monitoring could lead to general judgment about
children’s health. With advances in NICUs establishment, the survival rate of very low birth
weight (VLBW) neonates has increased in many countries including Iran. Because of the lack of
studies about growth and development pattern of low birth weight (LBW) and VLBW neonates
in Iran, the present study aimed to compare growth and development of normal, low and very
low birth weight neonates at 18 months of age. Materials and Methods: In a cross‑ sectional
descriptive study, 214 children with age 18 months were enrolled (90 LBW, 90 LBW and
34 VLBW) and their growth and development were assessed. Data gathering tool was a
researcher made questionnaire including anthropometrics measures and developmental key
points. Data analyzed by descriptive (mean and SD) and inferential (ANOVA) tests using SPSS
version 15. Results: There were significant differences in the mean of anthropometric indexes
between three groups. Majority of subjects in three groups had normal weight growth trend.
Mean scores of gross motor and fine motor development indexes had significant association with
birth weight. Meanwhile, there was no significant association between mean scores of social/
cognitive and also language developmental aspects and birth weight. Conclusion: Findings
revealed that in LBW and VLBW children, growth indexes at the age of 18 months are so far
from those of NBW neonates. Further nationwide prospective studies, with a longer period of
time is needed to estimate when Iranian LBW children reach at the levels of NBW ones.

Keywords

Children
development
growth
low birth weight
very low birth weight
1. Hockenberry MJ, Wilson D. Wong’s Nursing care of infants and
children. 9th ed. Mosby: Elsevier; 2011. p. 139.
2. Kliegman RM, Stanton BF, Schor NF, Geme JW St, Behrman RE.
Nelson text book of pediatrics. 19th ed. Saunders.USA: Elsevier;
2011.
3. Bureau of Family Health and Population, Ministry of Health and
Medical Education. Study a system of monitoring and evaluation
of reproductive health. Ministry of Health and Medical Education.
Tehran 2005.
4. Giannì ML, Picciolini O, Vegni C, Gardon L, Fumagalli M, Mosca F.
Twelve‑month neuro functional assessment and cognitive
performance at 36 months of age in extremely low birth weight
infants. Pediatrics 2007;120:1012‑9.
5. Jeanette Z. Newborn intensive Care. What every parent needs to
know. 3rd ed. USA: American Academy of Pediatrics; 2010. p. 281.
6. Macdonald MG, Mullett MD, Seshia M MK. Avery’s Neonatalogy.
Pathophisiology and Management of the Newborn. 6th ed.
Philadelphia, USA: Lippincott Williams and Wilkins; 2005.
p. 35,1644.
7. Abdeyazdan Z, Ehsanpour S, Javanmardi Z. A Comparative study
on growth pattern of Low Birth Weight and Normal Birth Weight
neonates. Int J Nurs Midwifery Res 2007;12:106‑10.
8. Van Der Mei J, Volmer M, Boersma ER. Growth and Survival of low
birth weight infant from 0 – 9 Years in a rural areas of Ghana. Trop
Med Int Health 2000;5:571‑7.
9. Powers GC, Ramamurthy R, Schoolfield J, Matula K. Post discharge
growth and development in a predominantly Hispanic, very low
birth weight population. Pediatrics 2008;122:1258‑65.
10. Ford GW, Doyle LW, Davis NM, Callanan C. Very Low Birth
Weight and Growth into Adolescence. Arch Pediatr Adolesc Med
2000;154:778‑84.
11. Latal‑Hajnal B, von Siebenthal K, Kovari H, Bucher HU, Largo RH.
Postnatal growth in VLBW infants: Significant association with
neurodevelopmental outcome. J Pediatr 2003;143:163‑70.
12. Constantinou JC, Adamson‑Macedo EN, Mirmiran M, Ariagno RL,
Fleisher BE. Neurobehavioral assessment predicts differential
outcome between VLBW and ELBW preterm infants. J Perinatol
2005;25:788‑93.
13. Gutbrod T, Wolke D, Soehne B, Ohrt B, Riegel K. Effects of gestation
and birth weight on the growth and development of very low
birthweight small for gestational age infants: A matched group
comparison. Arch Dis Child Fetal Neonatal Ed 2000;82:F208‑14.
14. Spittle AJ, Boyd RN, Inder TE, Doyle LW. Predicting motor
development in very preterm infants at 12 months’ corrected age:
The role of qualitative magnetic resonance imaging and general
movements assessments. Pediatrics 2009;123:512‑7.
15. Ozbek A, Miral S, Eminagaoglu N, Ozkan H. Development and
behavior of non‑handicapped preterm children from a developing
country. Pediatr Int 2005;47:532‑40.
Journal of Education and Health Promotion
Volume 4, Issue 4
Summer 2014
Pages 1-4

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