127 Session 6
Papers Topic - Infants Born Preterm Advancing Comprehensive Early Childhood Intervention P6.11 Early Developmental Assessment and Monitoring of Preterm Infants: Integrating Parental Perception in Korea Presenting Author: Jinhee Choi (Korea) Affiliation: Korean Interdisciplinary Council on Early Intervention
A pioneering early intervention program initiated in Korea in 2021 focused on the developmental assessment and monitoring of preterm infants. This study examined the initial evaluations and subsequent follow-ups of 60 preterm infants who received their first comprehensive developmental assessment by a collaborative team of special education teachers and physical therapists before the corrected age of 5 months. While many of the monitored infants showed typical development, there were notable instances of developmental delays or disabilities. Additionally, the study sought to gather and analyze parental feedback on the early monitoring of their preterm children. This program was the first of its kind in the nation, aimed at enhancing understanding and refining early intervention strategies for preterm infants. The findings from this program could provide a model for similar initiatives globally and highlight the essential role of parental perspectives in early developmental interventions. P6.12 Influence of the Sensory and Motor Systems on Caregivers and Infants Born With Neonatal Abstinence Syndrome and Developmental Trajectory for Infants Born With Prenatal Substance Exposure Prenatal substance exposure (PSE), including opioids, can cause Neonatal Abstinence Syndrome (NAS), impacting an infant's ability to self-soothe, interact, move, grow, and sleep. Children with PSE are at a higher risk of developmental delays than those without. The purpose of this paper is to describe two related research studies. The first was a prospective intervention using parent coaching for infants with PSE and NAS. Dramatic decreases in atypical neurobehavior and increases in infant motor performance and infant caregiver interaction were found. The second retrospective study compared early detection rates and resulting development of children with and without PSE over the first three years of life. Despite early identification of need, children with PSE lacked referrals or documentation of early intervention. Further, children with PSE had fewer appointments and screenings, lower developmental assessment scores, including greater delays in communication, problem solving, social and motor skills, indicating disparities in care and outcomes. P6.13 Relationship Between Socioeconomic Status, Neonatal Jaundice and Neuro-Developmental Delay: The Presenting Author: Kara Boynewicz (USA) Affiliation: East Tennessee State University Co-Authors: Tereas Boggs, Alyson Chroust, Michelle Johnson, Christy Weems Socioeconomic factors may affect the functional severity in neurodevelopmental delay. The relationship between neonatal jaundice and neurodevelopmental delay is established. But the relationship with socioeconomic status is unclear. In this study we evaluated 103 neonatal jaundice children for neurodevelopmental delay at the age of 90 days, recorded socioeconomic status with bilirubin levels, treatment modality applied. We observed 24 cases of neurodevelopmental delay, among them 20 cases belong to lower, upper lower and lower middle group. 22 cases were subjected to double surface / triple surface with antibiotics. 9th month evaluation revealed 15 cases without any improvement. This indicates that the early interventional therapy may be required prevent/ improve neurodevelopmental delay. We conclude that the early intervention therapy should be made mandatory treatment as a policy in neonatal jaundice children with more than 15mg/dL bilirubin levels in low socioeconomic group. Possible Role of Early Interventional Therapy Presenting Author: Mahesh Kumar Koonuru (India) Affiliation: Department of Early Intervention Co-Authors: Gopal Bala, Venkateswar Chevva, James Saji, Satya Prasad Venugopal
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