Evidence map›Paper›PMID 36834165›Full record

ArticleInternational journal of environmental research and public health2023

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 and 8 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Martin ChebetDepartment of Pediatrics and Child Health, Busitema University, Mbale P.O. Box 1460, Uganda.
Milton W MusabaDepartment of Obstetrics and Gynecology, Busitema University, Mbale P.O. Box 1460, Uganda.
David MukunyaDepartment of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda.ORCID 0000-0002-3892-9777
Brian MakokoDepartment of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda.ORCID 0000-0002-6254-4797
Agnes NapyoDepartment of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda.ORCID 0000-0003-4333-3588
Ritah NantaleDepartment of Community and Public Health, Busitema University, Mbale P.O. Box 1460, Uganda.
Proscovia AumaDepartment of Obstetrics and Gynecology, Mbale Regional Referral Hospital, Mbale P.O. Box 921, Uganda.
Ketty AtimDepartment of Obstetrics and Gynecology, Mbale Regional Referral Hospital, Mbale P.O. Box 921, Uganda.
Doreck NahuriraDepartment of Obstetrics and Gynecology, Busitema University, Mbale P.O. Box 1460, Uganda.
Seungwon LeeDepartment of Neuroscience, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-4217-9438
Dedan OkelloDepartment of Pediatrics and Child Health, Busitema University, Mbale P.O. Box 1460, Uganda.
Lawrence SsegawaDepartment of Research, Sanyu Africa Research Institute, Mbale P.O. Box 2190, Uganda.
Kieran BromleyResearch Institute for Primary Care and Health Sciences, School of Medicine, Keele University, Newcastle ST5 5BG, UK.
Kathy BurgoineNeonatal Unit, Mbale Regional Referral Hospital, Mbale P.O. Box 921, Uganda.ORCID 0000-0001-7975-745X
Grace NdeeziDepartment of Pediatrics and Child Health, Makerere University, Kampala P.O. Box 7062, Uganda.
James K TumwineDepartment of Pediatrics and Child Health, Makerere University, Kampala P.O. Box 7062, Uganda.
Julius WandabwaDepartment of Obstetrics and Gynecology, Busitema University, Mbale P.O. Box 1460, Uganda.
Sarah KiguliDepartment of Pediatrics and Child Health, Makerere University, Kampala P.O. Box 7062, Uganda.

Funding

Health Professions Education and training for strengthening the health system and services in UgandaR25TW011213 · FIC · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI KIGULI, SARAH · 2018 to 2022
$3.4M
FIC NIH HHS R25 TW011213PEPFAR
6 · The paper itself

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.

Indexed as

Child DevelopmentNeurodevelopmental DisordersChildCohort StudiesFemaleHumansInfantParturitionPregnancyUgandadevelopmentEastern-Ugandagrowthneurodevelopmental delaynutritionthrive

Identifiers

PMID36834165
PMCPMC9963417

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.