Association of Postpartum Maternal Morbidities with Children's Mental, Psychomotor and Language Development in Rural Bangladesh|
Hamadani, J.D.; Tofail,F.; Hilaly, A.; Mehrin, F.; Shiraji, S.; Banu, S. & Huda, S.N.
Little is known from developing countries about the effects of maternal morbidities diagnosed in the postpartum
period on children's development. The study aimed to document the relationships of such morbidities
with care-giving practices by mothers, children's developmental milestones and their language, mental
and psychomotor development. Maternal morbidities were identified through physical examination at
6-9 weeks postpartum (n=488). Maternal care-giving practices and postnatal depression were assessed also
at 6-9 weeks postpartum. Children's milestones of development were measured at six months, and their
mental (MDI) and psychomotor (PDI) development, language comprehension and expression, and quality
of psychosocial stimulation at home were assessed at 12 months. Several approaches were used for identifying
the relationships among different maternal morbidities, diagnosed by physicians, with children's development.
After controlling for the potential confounders, maternal anaemia diagnosed postpartum showed
a small but significantly negative effect on children's language expression while the effects on language
comprehension did not reach the significance level (p=0.085). Children's development at 12 months was
related to psychosocial stimulation at home, nutritional status, education of parents, socioeconomic status,
and care-giving practices of mothers at six weeks of age. Only a few mothers experienced each specific morbidity,
and with the exception of anaemia, the sample-size was insufficient to make a conclusion regarding
each specific morbidity. Further research with a sufficient sample-size of individual morbidities is required
to determine the association of postpartum maternal morbidities with children's development.
Anaemia; Child development; Cognitive development; Descriptive studies; Morbidity;Psychomotor development; Bangladesh