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Abstract Ref Number = APCP194
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Developmental Dan Behavioral Screening For High Risk Baby
Meita Dhamayanti
Indonesian Pediatrics Society
The improvement in perinatal care has led to increase in survival as well as morbidity in sick newborns. Many neonates survive major insults without any evidence of impairment because of the plasticity of the developing brain and improvements in medical care. However, in some newborn babies, insults can cause varying degrees of long-term neurodevelopmental impairment. These babies need to be followed up regularly to assess growth and neurodevelopmental outcome and for early stimulation and rehabilitation. If left unnoticed these impairments cause a major socio-economic burden, especially in resource-poor countries.
A systematic review of 153 studies across the globe, documenting 22,161 survivors of intrauterine or neonatal insults showed an overall median risk of at least one sequelae in any domain as 39.4%. Developmental delays for children with perinatal problems in Indonesia is 17.1-26%. According to the literature, 12 to 16 percent of children in the United States have at least one developmental delay, yet as many as one-half of affected children will not be identified by the time they enter kindergarten.
The long term follow-up for high risk baby needs multidiscipline work, a team consist of pediatricians, child psychologist, ophthalmologist, ENT doctor, physiotherapist, nutritionist and many others. Currently there’s no specific guidelines for high-risk baby in Indonesia. But medical professionals, especially pediatrician should be more aware for developmental problems when dealing with high risk baby. If developmental delays are detected too late, opportunities for early intervention may be lost.
Keywords: behavior, development, high-risk baby, screening
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