International Journal of Nursing Education

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Randomized Control Trial: Age of Presentation of Denver-II Test Items for Developmental Outcomes from Birth Till Infancy


Affiliations
1 Tata Memorial Hospital, 13th floor Nursing Education Department, Dr. E Borges Marg, Parel, Mumbai, India
2 M.G.M. Medical College Hospital, Kalamboli, Navi-Mumbai, India
3 M.G.M. Medical College Hospital, Vashi, Navi-Mumbai, India
     

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Objectives: To compare growth and development outcomes in the interventional and control groups through infancy.

Methodology: This prospective, time series, randomized, partially blind, interventional controlled study was conducted from 1st June 2014 to 31st July 2016 at MGM Medical College hospital for Mother and Child Kalamboli, Navi Mumbai, India. Prior approval of the MGMIHS Institutional Ethics Committee was obtained. Inclusion Criteria: Full term newborns with normal vaginal delivery. Pregnant women with single full-term fetus and without any known high-risk pregnancy subjected to their written informed consent. 268 babies each in the intervention group and control group. Babies were randomized to either group, following computer generated random numbers.

Data Analysis: Demographic data was analysed by frequency and percentage. Unpaired t tests at respective individual percentiles of P25, P50, P75 and P90 of test items as per DDST-II.

Results: Growth and development at 4-6, 8-10, 12-14 weeks; at 6, 9 and 12 months of follow-up. Developmental milestones (DDST-II): Gross motor: Out of total 15 items found relevant under one year of age, the intervention group achieved individual milestones earlier than the control in 6 items and advanced in 3 more items. Language: Advantage of intervention group over control was maintained by I-SUC (Intervention) group in language domain too particularly at 4-6 weeks age (p=0.001) and at one year of age (p=0.005).

Fine Motor: Out of 12 items under the broad domains of fine motor development under one year of age, the intervention group achieved several milestones earlier than the control in 4 items.

Personal Social: The difference was highly significant at 9 months of age (p=0.005).

Conclusion: The I-SUC can safely replace DCC. The great advantage of consistently higher red-cell mass and hemoglobin level through-out in infancy in intervention group all through, on long term follow up till infancy was considered very encouraging.


Keywords

DDST-II: Denver’s Developmental Screening Tool, PCV: Hematocrit.
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  • 2005-2006 National Family Health Survey (NFHS-3) National Fact Sheet. Ministry of Health and Family Welfare Government of India.

  • 2015-16. National Family Health Survey (NFHS-4) Prevalence of anaemia among women.

  • Lozoff B, Beard J, Connor J, Barbara F, Georgieff M, Schallert T. Long-lasting neural and behavioral effects of iron deficiency in infancy. Nutr. Rev. 2006;64(5 Pt 2):S34-43.

  • Thomas DG, Grant SL, Aubuchon-Endsley NL. The Role of Iron in Neurocognitive Development. Developmental Neuropsychology 2009;34(2):196 - 222.

  • Lozoff B, Brittenham GM, Wolf AW, McClish DK, Kuhnert PM, Jimenez E, et al., Iron Deficiency Anaemia and Iron Therapy Effects on Infant Developmental Test Performance. Pediatrics 1987;79(6):981-95.

  • Berglund SK, Westrup B, Hägglöf B, Hernell O, Domellöf M. Effects of Iron Supplementation of LBW Infants on Cognition and Behaviour at 3 Years. Pediatrics 2013;131(1):47-55.

  • Basvanthappa B.T.,(2001), “Nursing Research”,1st edition,New Delhi, Jayee Publishers.

  • McCann JC, Ames BN. An overview of evidence for a causal relation between iron deficiency during development and deficits in cognitive or behavioral function. The American Journal of Clinical Nutrition 2007;85(4):931-45.

  • Grantham-Mc Gregor S, Ani C. A Review of Studies on the Effect of Iron Deficiency on Cognitive Development in Children. The Journal of Nutrition 2001;131(2):649S-68S

  • Szajewska H, Ruszczynski M, Chmielewska A. Effects of iron supplementation in nonanemic pregnant women, infants, and young children on the mental performance and psychomotor development of children: a systematic review of randomized controlled trials. Am. J. Clin. Nutr. 2010;91(6):1684-90.

  • Weeks, A. (1997). Umbilical cord clamping after birth: Better not to rush. BMJ 335, 312-3

  • McDonald SJ, Middleton P. Effect of timing of umbilical cordclamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev. 2008;CD004074.

  • Andersson O, Hellstrom- Westas L, Andersson D, Domell of M. Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: a randomized controlled trial. BMJ. 2011;343:d7157.

  • Frankenburg, W.K.; Dodds, J.; Archer, P. (1990). Denver II Technical Manual. DenverII.com: Denver Developmental Materials, Inc. p. 1.

  • Ramcharan R, Ali Z, Adams J, Simeon D. Standardization of the Denver Development Screening Test II (DDST II) for Trinidadian children. Available at: GRANT REPORTS 2005/J.


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  • Randomized Control Trial: Age of Presentation of Denver-II Test Items for Developmental Outcomes from Birth Till Infancy

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Authors

Manisha Nandkumar Pawar
Tata Memorial Hospital, 13th floor Nursing Education Department, Dr. E Borges Marg, Parel, Mumbai, India
Nimain Mohanty
M.G.M. Medical College Hospital, Kalamboli, Navi-Mumbai, India
Mary Mathews
M.G.M. Medical College Hospital, Vashi, Navi-Mumbai, India

Abstract


Objectives: To compare growth and development outcomes in the interventional and control groups through infancy.

Methodology: This prospective, time series, randomized, partially blind, interventional controlled study was conducted from 1st June 2014 to 31st July 2016 at MGM Medical College hospital for Mother and Child Kalamboli, Navi Mumbai, India. Prior approval of the MGMIHS Institutional Ethics Committee was obtained. Inclusion Criteria: Full term newborns with normal vaginal delivery. Pregnant women with single full-term fetus and without any known high-risk pregnancy subjected to their written informed consent. 268 babies each in the intervention group and control group. Babies were randomized to either group, following computer generated random numbers.

Data Analysis: Demographic data was analysed by frequency and percentage. Unpaired t tests at respective individual percentiles of P25, P50, P75 and P90 of test items as per DDST-II.

Results: Growth and development at 4-6, 8-10, 12-14 weeks; at 6, 9 and 12 months of follow-up. Developmental milestones (DDST-II): Gross motor: Out of total 15 items found relevant under one year of age, the intervention group achieved individual milestones earlier than the control in 6 items and advanced in 3 more items. Language: Advantage of intervention group over control was maintained by I-SUC (Intervention) group in language domain too particularly at 4-6 weeks age (p=0.001) and at one year of age (p=0.005).

Fine Motor: Out of 12 items under the broad domains of fine motor development under one year of age, the intervention group achieved several milestones earlier than the control in 4 items.

Personal Social: The difference was highly significant at 9 months of age (p=0.005).

Conclusion: The I-SUC can safely replace DCC. The great advantage of consistently higher red-cell mass and hemoglobin level through-out in infancy in intervention group all through, on long term follow up till infancy was considered very encouraging.


Keywords


DDST-II: Denver’s Developmental Screening Tool, PCV: Hematocrit.

References