Early human development最新文献

{"title":"“A word that describes it well is ‘lonely’” – Experiencing preterm birth during the first COVID-19 lockdown in Germany: A qualitative study","authors":"Simone Teresa Böhm-González ,&nbsp;Sarah Detemple ,&nbsp;Jasmin Gruß ,&nbsp;Angela Kribs ,&nbsp;Astrid Berner-Rodoreda ,&nbsp;Christoph Härtel ,&nbsp;Jörg Dötsch ,&nbsp;Annic Weyersberg","doi":"10.1016/j.earlhumdev.2025.106229","DOIUrl":"10.1016/j.earlhumdev.2025.106229","url":null,"abstract":"<div><h3>Background</h3><div>During the first pandemic lockdown restrictive regulations were implemented in hospitals. Parents of preterm babies were particularly affected due to a long hospital stay. The aim of this study is to investigate how pandemic regulations during the first lockdown impacted the birth and perinatal experiences of parents of preterm babies.</div></div><div><h3>Methods</h3><div>For this qualitative study, we interviewed ten parents who had a preterm baby (28 to 32 gestational weeks) during the first lockdown in Germany. The interviews were analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Five themes were identified 1) “Loneliness of pregnant mothers at risk at the maternity ward”, highlights the lack of physical and emotional support, intensified by a tense atmosphere at the hospitals 2) “Losing out on meaningful moments” describes the feeling of being cheated of a ‘real’ birth experience and missing out on the ‘normal life at home’ with a newborn 3) “Fear as a constant companion” refers to the fear of a COVID-19 infection during the hospital stay and ambivalent feelings upon arriving home 4) “Medical care of preterm infants during the pandemic” emphasizes the gaps in medical care of preterm infants but also underscores what went well despite pandemic restrictions and 5) “Mothers taking action to change hospital regulations” portrays their agency.</div></div><div><h3>Conclusion</h3><div>It is crucial to include scientific, pediatric expertise in future pandemic response planning to rapidly visualize and prevent negative consequences of mitigations measures, such as those described in this study. Protecting elements of family-centered and integrated care should be a priority.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"204 ","pages":"Article 106229"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between gestation at birth and maternal sensitivity: An individual participant data (IPD) meta-analysis","authors":"Julia Jaekel ,&nbsp;Peter J. Anderson ,&nbsp;Dieter Wolke ,&nbsp;Günter Esser ,&nbsp;Gorm Greisen ,&nbsp;Alicia Spittle ,&nbsp;Jeanie Cheong ,&nbsp;Anneloes L. van Baar ,&nbsp;Marjolein Verhoeven ,&nbsp;Noa Gueron-Sela ,&nbsp;Naama Atzaba-Poria ,&nbsp;Lianne J. Woodward ,&nbsp;Erica Neri ,&nbsp;Francesca Agostini ,&nbsp;Ayten Bilgin ,&nbsp;Riikka Korja ,&nbsp;Elizabeth C. Loi ,&nbsp;Karli Treyvaud","doi":"10.1016/j.earlhumdev.2025.106227","DOIUrl":"10.1016/j.earlhumdev.2025.106227","url":null,"abstract":"<div><h3>Background and aim</h3><div>Studies have documented differences in dyadic sensitivity between mothers of preterm (&lt;37 weeks' gestation) and term born children, but findings are inconsistent and studies often include small and heterogeneous samples. It is not known to what extent variations in maternal sensitivity are associated with preterm birth across the full spectrum of gestational age.</div></div><div><h3>Objective</h3><div>To perform a systematic review and individual participant data (IPD) meta-analysis assessing variations in observed dyadic maternal sensitivity according to child gestational age at birth, while adjusting for known confounders correlated with maternal sensitivity.</div></div><div><h3>Method</h3><div>We harmonised data from 12 birth cohorts from ten countries and carried out one-stage IPD meta-analyses (<em>N</em> = 3951) using mixed effects linear regression. Maternal sensitivity was <em>z</em>-standardised according to the scores of contemporary term-born controls within each respective cohort. All models were adjusted for child sex, age at assessment, neurodevelopmental impairment, small for gestational age birth, and maternal education.</div></div><div><h3>Results</h3><div>The fixed linear effect of the association between gestation at birth and maternal sensitivity across all 12 cohorts was small but stable (0.02 per week [<em>95</em> <em>% CI</em> = 0.01, 0.02], <em>p</em> &lt; .001). The binary effects of maternal education (0.32 [0.24, 0.40], <em>p</em> &lt; .001) and child neurodevelopmental impairment (−0.33 [−0.50, −0.17], <em>p</em> &lt; .001) were associated with maternal sensitivity.</div></div><div><h3>Interpretation</h3><div>Gestational age at birth is positively associated with dyadic maternal sensitivity, however, the size of the effect is small. Over and above gestation, maternal education and child neurodevelopmental impairment appear to affect sensitivity, highlighting the importance of considering these factors in future research and intervention designs.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"203 ","pages":"Article 106227"},"PeriodicalIF":2.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The predictive validity of HINE, Bayley, general movements and MOS-R in infancy","authors":"Michelle Jackman ,&nbsp;Catherine Morgan ,&nbsp;Carly Luke ,&nbsp;Larissa Korostenski ,&nbsp;Katya Zawada ,&nbsp;Michelle Juarez ,&nbsp;Annabel Webb ,&nbsp;Remy Blatch-Williams ,&nbsp;Cathryn Crowle","doi":"10.1016/j.earlhumdev.2025.106226","DOIUrl":"10.1016/j.earlhumdev.2025.106226","url":null,"abstract":"<div><h3>Introduction</h3><div>Infants born with congenital anomalies requiring surgery are at greater risk of developmental delays. Early screening tools are needed to identify infants who would benefit from early intervention. This study aimed to investigate the concurrent predictive validity of the General Movements Assessment (GMA), Motor Optimality Score – Revised (MOS-R), Hammersmith Infant Neurological Examination (HINE) and Bayley-III in identifying infants at risk of adverse neurodevelopmental outcomes.</div></div><div><h3>Methods</h3><div>A retrospective cohort study of 95 surgical infants. Participants were assessed at 3 months using the GMA, MOS-R, HINE, and Bayley-III. Development was assessed at 1 year using the Bayley-III. Logistic regression investigated the relationship between measures at 3 months and developmental outcome, using sensitivity, specificity, positive (PPV) and negative (NPV) predictive value and area under the ROC curve (AUC).</div></div><div><h3>Results</h3><div>All assessments had a relationship with development. Combining assessments at 3 months did not increase predictive value. MOS-<em>R</em> &lt; 23 or HINE&lt;60 had &gt;70 % sensitivity for identifying delays in ≥2 domains of the Bayley-III at 1 year, and &gt; 80 % accuracy in ruling out infants not at risk. MOS-R &lt; 23 (NPV 0.957), and HINE &lt;60 (NPV 0.971) were significantly correlated with delayed cognition.</div></div><div><h3>Discussion</h3><div>In a surgical cohort, the concurrent predictive validity of the GMA, MOS-R, HINE and Bayley-III, administered at 3 months of age was low, however all assessment tools showed correlations with outcomes. The HINE and MOS-R might help to identify infants who need support with cognition. Further exploration of early screening tools may help to identify infants who would benefit from early intervention.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"203 ","pages":"Article 106226"},"PeriodicalIF":2.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of adults born extremely preterm –The impact of prematurity throughout their lives into adulthood","authors":"Bente Johanne Vederhus ,&nbsp;Merete R. Benestad ,&nbsp;Jorunn Drageset ,&nbsp;Beate-Christin Hope Kolltveit","doi":"10.1016/j.earlhumdev.2025.106228","DOIUrl":"10.1016/j.earlhumdev.2025.106228","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal medicine has advanced significantly over the past few decades, leading to improved survival rates for infants born extremely preterm (EP). Being born extremely preterm increases the risk of various long-term health issues and impairments that may affect an individual's well-being and success in life. As these individuals now reach adulthood, we have limited knowledge of outcomes based on their personal experiences.</div></div><div><h3>Aims</h3><div>To explore how adults born EP perceive the impact of prematurity throughout their lives into adulthood.</div></div><div><h3>Study design</h3><div>A qualitative study design within an interpretive paradigm.</div></div><div><h3>Methods</h3><div>We conducted 11 in-depth interviews with individuals who were born EP (gestational age ≤ 28 weeks) in 1989 to 1990, when they were 33 years old. A semi-structured interview guide was applied asking about if and how being born EP had affected their life and how they had experienced the transition to adulthood. The data were analysed by using reflexive thematic analyse by Braun &amp; Clarke.</div></div><div><h3>Results</h3><div>Five themes were generated through the analysis: gratitude for life, general vulnerability, adaptability, strong bonding to significant others and nurturance.</div></div><div><h3>Conclusions</h3><div>The overall impression of the stories shared by adults born EP is that, despite having faced significant physical, mental, social and educational challenges, they seem to have managed well. Through personal resilience and the support of key figures in their lives, they have been able to navigate these difficulties. However, these challenges warrant attention.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"203 ","pages":"Article 106228"},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protective role of olfactomedin 4 gene polymorphisms in preterm neonates with sepsis","authors":"Duong Ngoc Mai ,&nbsp;Mai Anh Nguyen Thi ,&nbsp;Thu-Tinh Nguyen ,&nbsp;Hoang Anh Vu ,&nbsp;Phung Nguyen The Nguyen","doi":"10.1016/j.earlhumdev.2025.106223","DOIUrl":"10.1016/j.earlhumdev.2025.106223","url":null,"abstract":"<div><h3>Background</h3><div>Olfactomedin 4 (<em>OLFM4</em>) gene polymorphisms have been associated with variations in inflammatory responses and the severity of infections. This study aimed to investigate the association between <em>OLFM4</em> single nucleotide polymorphisms (SNPs) rs17552047 and rs1891944 and severe outcomes in preterm neonatal sepsis.</div></div><div><h3>Methods</h3><div>A prospective observational cohort study was conducted from April 2023 to April 2024, involving all preterm infants diagnosed with neonatal sepsis. Genotyping was performed using real-time polymerase chain reaction, and the associations with severe outcomes were analyzed using genetic models (dominant, recessive, and additive) through multivariate logistic regression and survival analysis.</div></div><div><h3>Results</h3><div>Among the 174 preterm newborns included in the study, 39 experienced severe outcomes. The AA/AG genotypes of SNP rs17552047 and TT/TC genotypes of rs1891944 were associated with a reduced risk of severe outcomes (adjusted hazard ratio: 0.271, 95 % confidence interval [CI]: 0.115–0.641, <em>p</em> = 0.003, and adjusted hazard ratio: 0.349, 95 % CI: 0.175–0.698, <em>p</em> = 0.003, respectively). The odds of severe outcomes decreased by 65 % for each additional A allele (95 % CI: 0.15–0.78, <em>p</em> = 0.01). The model incorporating both SNPs and clinical variables demonstrated good predictive capability (area under the receiver operating characteristic curve: 0.826, 95 % CI: 0.748–0.903, <em>p</em> = 0.03).</div></div><div><h3>Conclusions</h3><div>The <em>OLFM4</em> rs17552047 AA/AG and rs1891944 TT/TC genotypes have been linked to favorable outcomes in neonatal sepsis. These SNPs hold promise for predicting severe outcomes in neonatal sepsis.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"202 ","pages":"Article 106223"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity of bronchopulmonary dysplasia and characteristics of neuro-motor development prior to acquisition of independent walking in very preterm and/or very low-birth-weight infants: A retrospective cohort study in a children's medical centre in Japan","authors":"Kotaro Mine ,&nbsp;Hirotaka Gima ,&nbsp;Shoko Sasao ,&nbsp;Yuumi Yajima ,&nbsp;Hidehiko Maruyama ,&nbsp;Tetsuya Isayama ,&nbsp;Anri Kamide","doi":"10.1016/j.earlhumdev.2025.106225","DOIUrl":"10.1016/j.earlhumdev.2025.106225","url":null,"abstract":"<div><div>Objective: This study aimed to determine the effect of bronchopulmonary dysplasia (BPD) and its severity on neurological examination at equivalent to full term and the development of gross motor skills prior to the acquisition of independent walking in very preterm and/or very low-birth-weight (VLBW) infants.</div><div>Methods: This study was a retrospective cohort study. Participants were very preterm and/or VLBW infants who were admitted to a neonatal intensive care unit at a children's hospital in Japan between 2017 and 2021. Clinical, demographic, and outcome variables were retrospectively extracted from medical records. The main outcome measures were the Hammersmith Neonatal Neurological Examination (HNNE) score, a neurological examination at the equivalent of full term, and the age at acquisition of each gross motor skill.</div><div>Results: In total, 123 infants were included, of whom 62 did not have BPD, 23 had mild BPD, 25 had moderate BPD, and 13 had severe BPD. No significant differences were observed between groups in the neurological examination results for either the total or categorical HNNE scores. For gross motor skills, the results of hierarchical multiple regression analyses adjusted for confounding factors showed that severe BPD remained a factor that delayed the acquisition of most gross motor milestones, even after changing the models. The unstandardised coefficients (beta) restored to the exponent ranged from 1.16 to 1.32 for all models.</div><div>Conclusions: Clinicians involved in the follow-up of very preterm and/or VLBW infants should monitor and support the development of infants with severe BPD from the early postnatal period.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"203 ","pages":"Article 106225"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is digit ratio (2D:4D) a biomarker for lactate in women? Evidence from a cardiopulmonary test on professional female footballers","authors":"John T. Manning ,&nbsp;Koulla Parpa ,&nbsp;Laura Mason ,&nbsp;Hadi Nobari ,&nbsp;Elena Mainer Pardos ,&nbsp;Marcos Michaelides","doi":"10.1016/j.earlhumdev.2025.106224","DOIUrl":"10.1016/j.earlhumdev.2025.106224","url":null,"abstract":"<div><h3>Background</h3><div>Lactate and digit ratio (2D:4D) have been linked to sports performance, cardiovascular disease, and some cancers. 2D:4D is strongly and positively associated with lactate during exercise across a range of running speeds in men. This study aimed to consider the relationship between 2D:4D and lactate in women during an incremental cardiopulmonary exercise test.</div></div><div><h3>Method</h3><div>The participants were professional female football players. The treadmill test began at a speed of 6 km/h and was increased by 2 km/h every 3.15 min, with measurements at 6, 8, 10, 12, and 14 km/h.</div></div><div><h3>Results</h3><div>There were 25 Caucasian and 3 Black participants; 2D:4D and lactate levels were lower in the latter, but the sample size was too small for meaningful comparisons. Lactate levels increased with running speed. The 2D:4D was not associated with lactate at 6 to 12 km/h. At 14 km/h, lactate was positively associated with right and left 2D:4D (stronger for the former) and negatively with height and digit lengths. These correlations were significant for the total sample and Caucasians only. Multiple regressions for the Caucasian sample showed that right 2D:4D was positively related to lactate at 14 km/h, and height was negatively associated with lactate at all speeds.</div></div><div><h3>Conclusion</h3><div>During exercise, the effect sizes for relationships between 2D:4D and lactate in women are positive but smaller than those reported for men and restricted to higher running speeds. Unlike men, women show a negative relationship between height and lactate. It is suggested that prenatal and pubertal sex steroid effects may explain these sex differences.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"203 ","pages":"Article 106224"},"PeriodicalIF":2.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal bilateral hyperechogenic kidneys: Prenatal progression and long-term postnatal outcome","authors":"Kavyesh Vivek ,&nbsp;Sandra Subtil ,&nbsp;Elisabetta Sanna ,&nbsp;Francois Dos Santos ,&nbsp;Iris Derwig ,&nbsp;Christoph Lees ,&nbsp;Marie-Klaire Farrugia","doi":"10.1016/j.earlhumdev.2025.106222","DOIUrl":"10.1016/j.earlhumdev.2025.106222","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the prenatal progression and long-term outcome of fetal bilateral hyperechogenic kidneys (HK).</div></div><div><h3>Design</h3><div>Retrospective study 2005–2016. Fetal/maternal demographics, scan findings, postnatal diagnoses and outcomes were collected from electronic patient records and post-mortem reports.</div></div><div><h3>Results</h3><div>Data available for 65 out of 72 fetuses with bilateral HK. Forty-five (69 %) had normal amniotic fluid index (AFI); of these, 23 had isolated HK and all survived the neonatal period. The remaining patients with normal AFI had other renal and multi-system anomalies; diagnoses included 13 trisomies and genetic syndromes — only one patient with suspected bladder outlet obstruction survived. Of 20 pregnancies with reduced AFI, HK were isolated in 5 fetuses, and only one survived (diagnosed with 17q12 microdeletion). The remaining 15 fetuses had multisystem anomalies and none survived; diagnoses included Meckel-Gruber Syndrome and Dandy-Walker malformation. Survival with bilateral HK and oligohydramnios was 5 %. Overall survival was 25/65 (38 %); follow-up data was available for 23 patients. HK resolved in 17 (74 %) and persisted in 6 children, who were followed-up for median 15 years (4–19 years). Of these, 3 patients developed bilateral renal cysts and were diagnosed with HNF1b/17q12 deletion kidney disease (one patient is in CKD2a, whereas the rest have normal renal function). The remaining patients were found to have a PKD1 variant; bilateral renal cysts (lost to follow-up before a genetic diagnosis) and a unilateral hydronephrosis: all have normal renal function.</div></div><div><h3>Conclusion</h3><div>Isolated HK with normal AFI is associated with survival past the neonatal period and normal renal function in most cases (96 %). As normal kidney function may be due to glomerular hyperfiltration in early childhood to teenage years, long-term follow up is advisable, in particular for those with a genetic diagnosis that predisposes to chronic renal impairment in adulthood (HNF1b, 17q12 deletion in this study). HK in the presence of reduced AFI carries a poor prognosis, with only 5 % survival (this patient had 17q12 deletion related kidney disease). Overall survival in this study was 38 % in the first year and 34 % long-term.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"202 ","pages":"Article 106222"},"PeriodicalIF":2.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes from an enhanced developmental screening programme in Singapore","authors":"Sita Padmini Yeleswarapu ,&nbsp;Chui Mae Wong ,&nbsp;Yoke Hwee Chan ,&nbsp;Lourdes Mary Daniel ,&nbsp;Olivia Xia Jiawen ,&nbsp;David Chee Chin Ng ,&nbsp;Xiaoxuan Guo ,&nbsp;Ratnaporn Siriamornsarp ,&nbsp;Pratibha Keshav Agarwal","doi":"10.1016/j.earlhumdev.2025.106220","DOIUrl":"10.1016/j.earlhumdev.2025.106220","url":null,"abstract":"<div><h3>Introduction</h3><div>Historically, low referral rates of 3–4 % have been reported from Singapore primary health care. Early identification of and intervention for developmental delays and autism enable achievement of optimal outcomes. An enhanced developmental screening (EDS) programme was introduced in primary care to improve identification of developmental delays and autism for children aged 18 and 30 months. This study evaluated prevalence of positive screening for developmental delays/autism at 18 months, identified associated socio-demographic risk factors and studied the correlation between primary care screening tools with outcomes following tertiary care assessments.</div></div><div><h3>Methods</h3><div>In primary care, EDS was conducted using Parents' Evaluation of Developmental Status (PEDS), Parents' Evaluation of Developmental Status: Developmental Milestones (PEDS:DM), Ages &amp; Stages Questionnaires-Third Edition (ASQ-3) and Modified Checklist for Autism in Toddlers, Revised - Follow-Up (M-CHATR/F) along with collection of socio-demographic data. Tertiary care assessment included Developmental Profile-3 (DP-3) screening and, a developmental paediatrician consultation.</div></div><div><h3>Results</h3><div>Of 4212 children screened at 18 months, 14 % screened positive for developmental delays and 2 % for autism at primary care. Lower maternal education, ethnic minority status and lower socioeconomic status were associated with a positive screen. Moderate- strong correlation was seen between the ASQ-3 gross motor domain and DP-3 physical domain, moderate correlation between the communication domains of the 2 tools and the ASQ-3 personal-social domain with DP-3 adaptive domain.</div></div><div><h3>Conclusion</h3><div>EDS enabled improved identification of children for developmental delays/autism. Identification of socio-demographic risk factors will enable children from such families to be identified early and referred for intervention.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"202 ","pages":"Article 106220"},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac function and neurological development in complicated monochorionic pregnancies: Current evidence and clinical implications","authors":"Miriam Lopian ,&nbsp;Asma Khalil","doi":"10.1016/j.earlhumdev.2025.106221","DOIUrl":"10.1016/j.earlhumdev.2025.106221","url":null,"abstract":"<div><div>Monochorionic twin pregnancies, characterized by a shared placenta and unique vascular architecture, face significantly elevated risks of perinatal complications compared to dichorionic and singleton pregnancies. This review examines the pathophysiology, cardiovascular, and neurological adaptations in three primary complications of monochorionic pregnancies: Twin-to-Twin Transfusion Syndrome (TTTS), Selective Fetal Growth Restriction (sFGR), and Twin Anemia Polycythemia Sequence (TAPS).</div><div>TTTS disrupts hemodynamic balance, leading to distinct cardiac dysfunctions and increased neurodevelopmental injury (NDI). In sFGR, unequal placental sharing induces cardiovascular and neurological disparities between twins, while TAPS causes chronic anaemia and polycythemia with associated risks of brain injury. Advances in fetal therapy, such as fetoscopic laser surgery, have significantly improved survival, yet long-term sequelae remain concerning.</div><div>This review emphasizes the importance of specialised prenatal care, multidisciplinary management, and comprehensive postnatal follow-up to mitigate adverse outcomes.</div><div>The findings call for further research into the mechanisms of fetal adaptation and injury, aiming to refine diagnostic tools and therapeutic strategies.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"202 ","pages":"Article 106221"},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}