ВИСОКОРИЗИЧНИ НОВОРОДЕНИ И ПЕРВАЗИВНИ РАЗВОЈНИ НАРУШУВАЊА
Journal
Arhivi na javno zdravje
Date Issued
2017
Author(s)
Dukovska Valentina
Angelkova Natalija
Avramovska Vesna
Popovska, Ana
Spasovska Anastazija
Abstract
Aim of the paper: Analysis of developmental abilities in high-risk infants, with an emphasis on
risk, early screening and early diagnosis of disorders of the autistic spectrum (ASD). Materials and
methods: Between January 2013 and Decembеr 2015, a total number of 612 high - risk infants,
were followed as outpatients at the Clinic for neurology and development. We used Griffiths
developmental scales for assessment of developmental abilities and M-CHAT (Modified Checklist for
Autism in Toddlers) when there was a suspicion for ASD. Results: In 4,4% of the children disorder
in the field of socialization, social development and speech, as well as symptoms of ASD were
found. The median age of the infants during examination was 23 months. Each child had a normal
neurological status. Using the developmental tests, Griffiths developmental scales, the examined
children, showed normal development of gross motor skill and normal development of fine motor
skills. The developmental coefficient in the area of social development was 64%, and 44% in the
area of speech. Four children showed clear signs of sensory integration dysfunction. 3,3% of children
with symptoms of ASD were conceived with IVF, were twins and were preemies. Conclusion: The
goal of developmental follow-up and developmental diagnostics should be establishing the risk and
symptoms of ASD in high - risk children, especially in premature infants and twins.
risk, early screening and early diagnosis of disorders of the autistic spectrum (ASD). Materials and
methods: Between January 2013 and Decembеr 2015, a total number of 612 high - risk infants,
were followed as outpatients at the Clinic for neurology and development. We used Griffiths
developmental scales for assessment of developmental abilities and M-CHAT (Modified Checklist for
Autism in Toddlers) when there was a suspicion for ASD. Results: In 4,4% of the children disorder
in the field of socialization, social development and speech, as well as symptoms of ASD were
found. The median age of the infants during examination was 23 months. Each child had a normal
neurological status. Using the developmental tests, Griffiths developmental scales, the examined
children, showed normal development of gross motor skill and normal development of fine motor
skills. The developmental coefficient in the area of social development was 64%, and 44% in the
area of speech. Four children showed clear signs of sensory integration dysfunction. 3,3% of children
with symptoms of ASD were conceived with IVF, were twins and were preemies. Conclusion: The
goal of developmental follow-up and developmental diagnostics should be establishing the risk and
symptoms of ASD in high - risk children, especially in premature infants and twins.
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