High Burden of Neurodevelopmental Delay among Children Born to Women with Obstructed Labour in Eastern Uganda: A Cohort Study

Martin Chebet (), Milton W. Musaba, David Mukunya, Brian Makoko, Agnes Napyo, Ritah Nantale, Proscovia Auma, Ketty Atim, Doreck Nahurira, Seungwon Lee, Dedan Okello, Lawrence Ssegawa, Kieran Bromley, Kathy Burgoine, Grace Ndeezi, James K. Tumwine, Julius Wandabwa and Sarah Kiguli
Additional contact information
Martin Chebet: Department of Pediatrics and Child Health, Busitema University, Mbale P.O. Box 1460, Uganda
Milton W. Musaba: Department of Obstetrics and Gynecology, Busitema University, Mbale P.O. Box 1460, Uganda
David Mukunya: Department of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda
Brian Makoko: Department of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda
Agnes Napyo: Department of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda
Ritah Nantale: Department of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda
Proscovia Auma: Department of Obstetrics and Gynecology, Mbale Regional Referral Hospital, Mbale P.O. Box 921, Uganda
Ketty Atim: Department of Obstetrics and Gynecology, Mbale Regional Referral Hospital, Mbale P.O. Box 921, Uganda
Doreck Nahurira: Department of Obstetrics and Gynecology, Busitema University, Mbale P.O. Box 1460, Uganda
Seungwon Lee: Department of Neuroscience, University of Pennsylvania, Philadelphia, PA 19104, USA
Dedan Okello: Department of Pediatrics and Child Health, Busitema University, Mbale P.O. Box 1460, Uganda
Lawrence Ssegawa: Department of Research, Sanyu Africa Research Institute, Mbale P.O. Box 2190, Uganda
Kieran Bromley: Research Institute for Primary Care and Health Sciences, School of Medicine, Keele University, Newcastle ST5 5BG, UK
Kathy Burgoine: Neonatal Unit, Mbale Regional Referral Hospital, Mbale P.O. Box 921, Uganda
Grace Ndeezi: Department of Pediatrics and Child Health, Makerere University, Kampala P.O. Box 7062, Uganda
James K. Tumwine: Department of Pediatrics and Child Health, Makerere University, Kampala P.O. Box 7062, Uganda
Julius Wandabwa: Department of Obstetrics and Gynecology, Busitema University, Mbale P.O. Box 1460, Uganda
Sarah Kiguli: Department of Pediatrics and Child Health, Makerere University, Kampala P.O. Box 7062, Uganda

IJERPH, 2023, vol. 20, issue 4, 1-11

Abstract: Over 250 million infants in low and middle-income countries do not fulfill their neurodevelopment potential. In this study, we assessed the incidence and risk factors for neurodevelopmental delay (NDD) among children born following obstructed labor in Eastern Uganda. Between October 2021 and April 2022, we conducted a cohort study of 155 children (aged 25 to 44 months), born at term and assessed their neurodevelopment using the Malawi Developmental Assessment Tool. We assessed the gross motor, fine motor, language and social domains of neurodevelopment. The incidence of neurodevelopmental delay by 25 to 44 months was 67.7% (105/155) (95% CI: 59.8–75.0). Children belonging to the poorest wealth quintile had 83% higher risk of NDD compared to children belonging to the richest quintile (ARR (Adjusted Risk Ratio): 1.83; 95% CI (Confidence Interval): [1.13, 2.94]). Children fed the recommended meal diversity had 25% lower risk of neurodevelopmental delay compared to children who did not (ARR: 0.75; 95% CI: [0.60, 0.94]). Children who were exclusively breastfed for the first 6 months had 27% lower risk of neurodevelopmental delay compared to children who were not (ARR: 0.73; 95% CI: [0.56, 0.96]). We recommend that infants born following obstructed labor undergo neurodevelopmental delay screening.

Keywords: neurodevelopmental delay; growth; Eastern-Uganda; thrive; development; nutrition (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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