Development of former high-risk infants in rural districts.
Proceedings of the VII International Congress of Rural Medicine, September 17-21, Salt Lake City, Utah. International Association of Agricultural Medicine, 1978 Sep; :37-39
A comprehensive physical examination was given to 2984 newborns at the time of birth in an effort to study the development of high risk infants in a rural setting. Information was recorded such as the risk factors present in family history, disturbances which occurred during the pregnancy, and any complications at delivery. Of the 2984 infants, 416 were transferred almost immediately to an intensive care unit for treatment of prematurity, disturbances of adaptation, respiratory distress syndrome or birth injuries. A random selection 6 years later of 200 children from the healthy group and 200 from the high risk group was submitted for followup study. Most of the children have demonstrated normal somatic development. Three percent (six children) in the normal and 5 percent (ten children) in the high risk group had evidence of slight somatic retardation. No significant differences were noted between children from the city and those from the rural environment. Neurological examination showed 50 percent of the high risk infants to be fully normal compared to 60 percent in the comparison group. Mild neurological defects were noted in 27 and 26 percent of the children from the high risk and comparison groups, respectively. Moderate neurological problems existed in 16 percent of the high risk children and severe neurological handicaps in 7 percent. Comparisons included 10 percent with moderate and none with severe neurological problems. A greater number of oligophrenias and children with mild intellectual retardation were noted on psychological examination among the high risk probands living in rural environments. This difference was attributed to differences in the intensity of medical care offered in rural settings as compared to city life.
NIOSH-Grant; Grants-other; Demographic-characteristics; Sociology; Sociological-factors; Developmental-disorders; Neonates; Humans; Nervous-system-disorders; Psychomotor-disorders
Prev Med & Environmental Hlth University of Iowa Inst/agric Med & Environ Hlth Iowa Oakdale, Iowa 52319
Other Occupational Concerns; Grants-other
Proceedings of the VII International Congress of Rural Medicine, September 17-21, Salt Lake City, Utah
University of Iowa, Iowa City, Iowa