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Psychomotor Development of Children Born Premature at the Yaounde Gynaeco-Obstetric and Pediatric Hospital (Cameroon)

         

摘要

Premature infants are at risk for developmental delay. We assessed the psychomotor development of children born before 37 weeks of gestation.?Methods:?This was a descriptive cross-sectional study conducted in the Pediatric Department of the Yaounde Gynaeco-Obstetric and Pediatric Hospital from January to May 2018. We used the Denver II scale to assess the psychomotor development of children born premature aged 9 months to 6 years. Children born between January 2012 and April 2017 at a gestational age strictly below 37 weeks of gestation were included. Using logistic regression, we searched for perinatal factors associated with abnormalities of psychomotor developmental.?Results:?We included 50 children in our study, 60% of whom were boys, giving a sex ratio of 1.5. The mean age was 25 ± 19.5 months. The mean gestational age was 33 ± 2.2 weeks and the mean birth weight was 2178.68 ± 748.01 g. The average Developmental Quotient of the population was 108. Six children (12%) had a global developmental delay (DQ ?70), 22% of the children had a language delay. Convulsion was associated with motor delay (OR = 16;P = 0.03), and pregnancy monitoring a protective factor for language delay (P = 0.02).?Conclusion:?Improving perinatal care remains a preoccupying issue. The assessment of psychomotor development should be done until early childhood to enable early diagnosis of learning disabilities.

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