Long term outcome of very low birth weight babies born at Sri Jayawardenepura General Hospital from 1990-1995.

dc.contributor.authorWasala, Rani
dc.contributor.authorRanawake, Uthpala
dc.date.accessioned2014-02-03T10:47:43Z
dc.date.available2014-02-03T10:47:43Z
dc.date.issued2003-10
dc.description.abstract• To compare growth parameters (weight, height, occipitofrontal circumference (OFC) and body mass index (BMI) of very low birth weight (VLBW) children with that of age and sex matched children of normal birth weight. • To compare neurological, cognitive, educational and behavioural outcome of VLBW children with "that of control group. Design A descriptive comparative study. Setting Sri Jayawardenepura General Hospital (SJGH), Nugegoda. Method VLBW babies (<1500g), born at SJGH from 1990 January to 1995 December were compared with age and sex matched children of birthweights >2500g. These children were 6-11 years old at time of study (September-December 2001). Of 161 survivors, 92 were assessed. Their weights, heights, OFC and BMI were noted. Wechsler Intelligence Scale for Children-Revised (WISC-R) and Draw-aman test were used to assess cognitive functions. Educational status was assessed using age appropriate reading, writing, arithmetic tests and grade 5 scholarship marks. Behavioural status was assessed using a check list. Results Of the VLBW children, 63 (68.5%) were preterm babies who were small for gestational age (SGA); 51 (55.4%) were born to mothers with pregnancy induced hypertension (PIH); 46 (50%) had respiratory distress; 33 (35.9%) needed mechanical ventilation; 35 (38%) had neurological disabilities. Growth parameters such as weight (P= 0.000), height (P= 0.0034), OFC (P= 0.031) and BMI (P= 0.001) were significantly lower in index group compared to control group. Cognitive function, arithmetic abilities and behaviour were not significantly different in the 2 groups. However, there was a statistically significant difference in their reading and writing abilities and scholarship marks. Conclusions The VLBW children consisted mainly of preterm babies who were SGA. PIH was the leading predisposing factor. Their catch up growth was not satisfactory and they had significant reading and writing difficulties. 38% had disabilities on neurological assessment.en_US
dc.identifier.citationWasala Rani, Ranawake Uthpala. Long term outcome of very low birth weight babies born at Sri Jayawardenepura General Hospital from 1990-1995. Sri Lanka Journal of Child Health. 2003 Oct-Dec; 32(4): 92-95.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/150235
dc.language.isoenen_US
dc.source.urihttps://www.sljol.info/index.php/SLJCH/article/view/691en_US
dc.subjectInfant, Very Low Birth Weighten_US
dc.subjectInfant, Very Low Birth Weight-psychologyen_US
dc.subjectComparative Studyen
dc.subjectChild Developmenten
dc.subjectAchievementen
dc.subjectCognitionen
dc.subjectChild Behavioren
dc.subjectDyslexia, Acquireden
dc.subjectDyscalculiaen
dc.subjectChilden
dc.titleLong term outcome of very low birth weight babies born at Sri Jayawardenepura General Hospital from 1990-1995.en_US
dc.typeArticleen_US
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