ArticleBMC pediatrics2017
Health, nutrition, and development of children born preterm and low birth weight in rural Rwanda: a cross-sectional study.
Article in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Eating Behaviors, Caregiver Feeding Interactions, and Dietary Patterns of Children Born Preterm: A Systematic Review and Meta-Analysis.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- Growth and neurodevelopmental outcomes of preterm and low birth weight infants in rural Kenya: a cross-sectional study.BMJ open · 2023Trial
- Placental insufficiency and markers of fetal growth are associated with longitudinal infant growth and body composition trajectories up to two years of age.Scientific reports · 2026Article
- First-year growth patterns of preterm infants receiving kangaroo mother care: associations with early life factors and 1-year anthropometry.European journal of clinical nutrition · 2026Article
- Neurodevelopmental delay and associated factors among preterm infants aged 6 to 24 months adjusted gestation age in two urban hospitals in Uganda.PLOS global public health · 2025Article
- Survive and Thrive: Outcomes of Children Enrolled in a Follow-Up Clinic for Small and Sick Newborns in Rural Rwanda.Healthcare (Basel, Switzerland) · 2024Article
- Infant growth by INTERGROWTH-21st and Fenton Growth Charts: Predicting 1-year anthropometry in South African preterm infants.Maternal & child nutrition · 2024Article
- Screening for developmental delay in urban Rwandan children: a cross sectional study.BMC pediatrics · 2023Article
- Health-system drivers influencing the continuum of care linkages for low-birth-weight infants at the different care levels in Ghana.BMC pediatrics · 2023Article
- The benefits of nurturing care interventions on early child development and care: findings from a quasi-experimental study in a humanitarian setting.BMC pediatrics · 2023Article
- Article
- Design and implementation of a community-based mother-to-mother peer support programme for the follow-up of low birthweight infants in rural western Kenya.Frontiers in pediatrics · 2023Article
- Association between indoor residual spraying and pregnancy outcomes: a quasi-experimental study from Uganda.International journal of epidemiology · 2022Article
- Association of birthweight centiles and early childhood development of singleton infants born from 37 weeks of gestation in Scotland: A population-based cohort study.PLoS medicine · 2022Article
- Association between intimate partner violence during pregnancy and risk of preterm birth.BMC public health · 2021Article
- Observational
- Nutritional evaluation and growth of infants in a Rwandan neonatal follow-up clinic.Maternal & child nutrition · 2020Article
- High Burden of Undernutrition among At-Risk Children in Neonatal Follow-Up Clinic in Rwanda.Annals of global health · 2020Article
- Trends in burden and risk factors associated with childhood stunting in Rwanda from 2000 to 2015: policy and program implications.BMC public health · 2020Article
- Developmental Outcomes of Preterm and Low Birth Weight Toddlers and Term Peers in Rwanda.Annals of global health · 2019Article
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Authors and funding
14 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundAs care for preterm and low birth weight (LBW) infants improves in resource-limited settings, more infants are surviving the neonatal period. Preterm and (LBW) infants are at high-risk of nutritional and medical comorbidities, yet little is known about their developmental outcomes in low-income countries. This study evaluated the health, nutritional, and developmental status of preterm/LBW children at ages 1-3 years in Rwanda.
methodsCross-sectional study of preterm/LBW infants discharged between October 2011 and October 2013 from a hospital neonatal unit in rural Rwanda. Gestational age and birth weight were gathered from hospital records to classify small for gestational age (SGA) at birth and prematurity. Children were located in the community for household assessments in November-December 2014. Caregivers reported demographics, health status, and child development using locally-adapted Ages and Stages Questionnaires (ASQ-3). Anthropometrics were measured. Bivariate associations with continuous ASQ-3 scores were conducted using Wilcoxon Rank Sum and Kruskal Wallis tests.
resultsOf 158 eligible preterm/LBW children discharged from the neonatal unit, 86 (54.4%) were alive and located for follow-up. Median birth weight was 1650 grams, median gestational age was 33 weeks, and 50.5% were SGA at birth. At the time of household interviews, median age was 22.5 months, 46.5% of children had feeding difficulties and 39.5% reported signs of anemia. 78.3% of children were stunted and 8.8% wasted. 67.4% had abnormal developmental screening. Feeding difficulties (p = 0.008), anemia symptoms (p = 0.040), microcephaly (p = 0.004), stunting (p = 0.034), SGA (p = 0.023), very LBW (p = 0.043), lower caregiver education (p = 0.001), and more children in the household (p = 0.016) were associated with lower ASQ-3 scores.
conclusionsHigh levels of health, growth, and developmental abnormalities were seen in preterm/LBW children at age 1-3 years. As we achieve necessary gains in newborn survival in resource-limited settings, follow-up and early intervention services are critical for ensuring high-risk children reach their developmental potential.
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