title: Association of postpartum maternal morbidities with children's mental, psychomotor and language development in rural Bangladesh.
abstract: 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.
authors: icddr,b, GPO Box 128, Dhaka 1000, Bangladesh. jena@icddrb.org
authors: J D
authors: JD
authors: Hamadani
authors: F
authors: F
authors: Tofail
authors: A
authors: A
authors: Hilaly
authors: F
authors: F
authors: Mehrin
authors: S
authors: S
authors: Shiraji
authors: S
authors: S
authors: Banu
authors: S N
authors: SN
authors: Huda
mesh_terms: D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D002657:Child Development; D003072:Cognition Disorders / Q000191:economics / Q000453:epidemiology* / Q000208:ethnology; D015331:Cohort Studies; D017281:Cost of Illness; D005260:Female; D006801:Humans; D007223:Infant; D007805:Language Development Disorders / Q000191:economics / Q000453:epidemiology* / Q000208:ethnology; D008297:Male; D009017:Morbidity; D049590:Postpartum Period; D011204:Poverty Areas; D011247:Pregnancy; D011248:Pregnancy Complications / Q000191:economics / Q000453:epidemiology / Q000208:ethnology / Q000503:physiopathology*; D011596:Psychomotor Disorders / Q000191:economics / Q000453:epidemiology* / Q000208:ethnology; D012423:Rural Health / Q000191:economics / Q000208:ethnology; D012959:Socioeconomic Factors; D055815:Young Adult