Abstract

ASSESSMENT OF DEVELOPMENTAL MILESTONE IN CHILDREN LESS THAN 2 YEARS IN TIKRIT DISTRICT

*Talib A. Mohammad M. B. Ch. B.H.D.C.H, Azheen A. Muhammd M.B.Ch.B.M.C.H

ABSTRACT

Back ground: developmental and behavior problem in pediatrics more common than any category of problem except acute infection and trauma. Developmental assessment includes early identification of problem through screening and surveillance. Objectives: study the effect of gender, residence, types of feeding, consanguinity, and social state on developmental milestone in Tikrit district. Subjects and methods: a cross-sectional study has been conducted at a primary health care centers in Tikrit district, from first of February 2018 to end of September 2018. In this study 300 children are included whose aged less than 2 years. 156(52%) males and 144(48%) females. History (name, age, gender, residence, type of feeding, and social history) has been taken through direct interview using special questionnaire and assessment of milestone using Denver Developmental Screening Test II which depend on four domains (motor, adaptive, language, and social) is done for all the 300 child. Results: The study participants in the study consisted of 156 males (52%) and 144 females (48%). The age of children was less than two years. There were significant relations between developmental delay with gender in language and social domains, with residence in adaptive and language domains, with consanguinity in motor, adaptive, and language domains, with type of feeding in language domain and with social state in motor, adaptive, language and social domains. Conclusions: delay in Motor domain is more frequent in children of low social state family, delay in adaptive domain is more frequent in children of urban area, low social state family, delay in language domain is more frequent in males, children from urban area, bottle feed child, and low social state family, delay in social domain is more frequent in males and low social state family.

Keywords: Developmental milestone; motor momain; adaptive domain; language domain; social domain.