Dataset Information

Association between neonatal near miss and infant development: the Ribeirao Preto and Sao Luis birth cohorts (BRISA).

ABSTRACT:

Aim

To analyze the association between neonatal near miss and infant development at two years.

Methods

Data from two birth cohorts, one conducted in Ribeirão Preto (RP)/São Paulo and the other in São Luís (SL)/Maranhão, were used. The cognitive, motor and communication development of children was evaluated using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). The following criteria were used for the definition of NNM: birth weight < 1,500 g, 5-min Apgar score < 7, gestational age < 32 weeks, and report of congenital malformations. The relationship between neonatal near miss and development was assessed using the weighted propensity score from the Inverse Probability of Treatment Weighting (IPTW). A directed acyclic graph was built to select the adjustment variables.

Results

A total of 1,050 mother-newborn dyads were evaluated in SL and 1,840 in RP. Regarding outcomes in SL and RP, respectively, 2.4% and 17.3% of the children were not competent in the cognitive domain, 12.1% and 13.3% in the receptive communication domain, 39.2% and 47.1% in the expressive communication domain, 20.7% and 12.6% in the fine motor domain, and 14.3% and 13.8% in the gross motor domain. The prevalence of neonatal near miss was 5.4% in SL and 4.3% in RP. Unadjusted analysis showed an association of neonatal near miss with fine motor development in SL and RP and with the cognitive, receptive communication, expressive communication, and gross motor domains only in RP. These associations remained after adjusted analysis.

Conclusion

Neonatal near miss is a risk factor for developmental delays.

SUBMITTER: Aristizabal LYG

PROVIDER: S-EPMC10024445 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA).

Aristizábal Liliana Yanet Gómez LYG Rocha Paulo Ricardo Higassiaraguti PRH Confortin Susana Cararo SC Simões Vanda Maria Ferreira VMF Bettiol Heloisa H Barbieri Marco Antonio MA da Silva Antônio Augusto Moura AAM

BMC pediatrics 20230318 1

<h4>Aim</h4>To analyze the association between neonatal near miss and infant development at two years.<h4>Methods</h4>Data from two birth cohorts, one conducted in Ribeirão Preto (RP)/São Paulo and the other in São Luís (SL)/Maranhão, were used. The cognitive, motor and communication development of children was evaluated using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). The following criteria were used for the definition of NNM: birth weight < 1,500 g, 5-min ...[more]

PMID: 36932378

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