Study on physical and psychomotor development and some related factors of infants in Hue City - Vietnam, 2009-2010

JOURNAL OF SCIENCE, Hue University, N0 61, 2010<br /> <br /> STUDY ON PHYSICAL AND PSYCHOMOTOR DEVELOPMENT AND SOME<br /> RELATED FACTORS OF INFANTS IN HUE CITY - VIETNAM, 2009-2010<br /> Hoang Thi Bach Yen, Hoang Anh Tien , Nguyen Van Dat, Dinh Thanh Hue<br /> College of Medicine and Pharmacy, Hue University<br /> <br /> SUMMARY<br /> Health is a state of complete physical, mental and social well-being and not merely the<br /> absence of disease or infirmity. For children, good health is very important because it is the<br /> foundation for physical, psychomotor development. Nutrition for children in the first years plays<br /> an important role in the development process and quality of life of each individual. Insufficient<br /> nutrition in this period can lead to poor physical and mental development, and even diseases.<br /> This study was conducted with two objectives: To assess the physical, psychomotor development<br /> of infants in Hue City in 2009-2010; and to identify factors relating to physical, psychomotor<br /> development of infants. Methodology: A cross-sectional study was implemented with a<br /> combination of quantitative and qualitative methods. Results: The prevalence of underweight,<br /> stunting, and wasting malnutrition were 2.07%, 1.55% and 4.39%, respectively. Prevalence of<br /> delayed psychomotor development was 8.27%. There was a correlation between the time of<br /> having complementary feeding and weight-for-length (r= - 0.156, p0.05<br /> <br /> Total<br /> <br /> 17<br /> <br /> 53.12<br /> <br /> 15<br /> <br /> 46.88<br /> <br /> 32<br /> <br /> 100.0<br /> <br /> Among 4 domains, gross motor and language accounted for the highest<br /> prevalence of the delay (51.16% and 23.26% respectively). Except for the personal –<br /> social domain, the rest ones showed the delay on male rather than female. A<br /> statistically-significant difference was observed between genders for all delayed<br /> domains.<br /> 4.2. Factors relating to physical and psychomotor development of infants<br /> 4.2.1. Characteristics of the infants during neonatal period<br /> Table 4. Characteristics of the infants during the neonatal period<br /> <br /> Characteristics<br /> Term<br /> <br /> Way of delivery<br /> <br /> Diseases during neonatal<br /> <br /> n<br /> <br /> %<br /> <br /> Full-term<br /> <br /> 355<br /> <br /> 91.73<br /> <br /> Pre-term<br /> <br /> 25<br /> <br /> 6.46<br /> <br /> Post-term<br /> <br /> 7<br /> <br /> 1.81<br /> <br /> Total<br /> <br /> 387<br /> <br /> 100.0<br /> <br /> Vaginal delivery<br /> <br /> 255<br /> <br /> 65.89<br /> <br /> Interventional birth<br /> <br /> 132<br /> <br /> 34.11<br /> <br /> Total<br /> <br /> 387<br /> <br /> 100.0<br /> <br /> Yes<br /> <br /> 41<br /> <br /> 10.59<br /> <br /> 542<br /> <br /> period<br /> <br /> Which disease<br /> <br /> No<br /> <br /> 346<br /> <br /> 89.41<br /> <br /> Total<br /> <br /> 387<br /> <br /> 100.0<br /> <br /> Severe jaundice<br /> <br /> 10<br /> <br /> 22.73<br /> <br /> Neonatal infection<br /> <br /> 7<br /> <br /> 15.91<br /> <br /> Others<br /> <br /> 24<br /> <br /> 61.36<br /> <br /> Total<br /> <br /> 41<br /> <br /> 100.0<br /> <br /> Weight at birth<br /> There were 24 (6.20%) of infants with a birth weight under 2500gr. Among of<br /> them 9 (2.33%) was pre-term. The weight at birth was 3100 ± 400 grams.<br /> 4.2.2. Feeding practice<br /> 4.2.2.1. Breastfeeding<br /> Table 5. Breastfeeding practice<br /> <br /> Breastfeeding practice<br /> <br /> The first food after<br /> birth<br /> <br /> Breast feeding<br /> <br /> Reasons for not breast<br /> feeding<br /> <br /> Time of first breast<br /> feeding<br /> <br /> n<br /> <br /> %<br /> <br /> Breast milk<br /> <br /> 205<br /> <br /> 52.97<br /> <br /> Liquorice<br /> <br /> 8<br /> <br /> 2.07<br /> <br /> Sugar<br /> <br /> 6<br /> <br /> 1.55<br /> <br /> Infant formula<br /> <br /> 152<br /> <br /> 39.28<br /> <br /> Others<br /> <br /> 16<br /> <br /> 4.13<br /> <br /> Total<br /> <br /> 387<br /> <br /> 100.00<br /> <br /> Yes<br /> <br /> 378<br /> <br /> 97.67<br /> <br /> No<br /> <br /> 9<br /> <br /> 2.33<br /> <br /> Total<br /> <br /> 387<br /> <br /> 100.00<br /> <br /> Insufficient supply of milk<br /> <br /> 7<br /> <br /> 77.78<br /> <br /> Mother using Insulin<br /> <br /> 1<br /> <br /> 11.11<br /> <br /> Non – protractile nipple<br /> <br /> 1<br /> <br /> 11.11<br /> <br /> Total<br /> <br /> 9<br /> <br /> 100.00<br /> <br />