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A prospective observational study to determine difference in motor developmental outcomes & effect of early intervention in Full Term vs. Late Preterm neonates using INFANIB.

Objectives:

1. To evaluate difference in motor development between Late Preterm (LPT) vs. Full Term (FT) neonates at 1.5, 3 & 6 months of corrected age (CoA). 2. To evaluate effect of early intervention (EI) on motor development.

3. To evaluate if small for gestational age (SGA) differed from Appropriate for age babies in motor scores. Methods: It is a prospective observational study conducted in the well-baby clinic recruiting 24 cases in each group. Motor development was assessed using INFANIB & scores were categorized as ‘abnormal’, ‘transient’ or ‘normal’. Assessments were done at 1.5, 3 & 6 months of CoA. Those with transient or abnormal scores were referred for early intervention. Chi-Square test was used for analysis of difference in outcomes between the groups. Analysis for efficacy of EI was done using Friedman test. Results: Transient scores for LPT group decreased from 11 cases to 7 & 4 cases at 3 & 6 months respectively. Transient scores for FT group decreased from 6 cases at 1.5 months to 3 & 2 cases at 3 & 6 months respectively. This difference was not significant. SGA babies of both the groups were more likely to have transient scores. In each group those who continued EI showed significantly higher score at 6 months.

Conclusion:

Though transient scores in the two groups was not significantly different, it was higher in LPT group. SGA babies in both groups had higher transient scores. Those who continued EI had significantly better scores at 6 months of age.
Keywords: Preterm, Small for gestational age, motor outcomes, INFANIB, early intervention

Vrushabh Gavali
B.J. Wadia Hospital for Children
India

Shilpa Kulkarni
B. J. Wadia Hospital for Children
India

Prasoon Bansal
B. J. Wadia Hospital for Children
India

 

 


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