Mohammed Heba, El-Gibaly Omaima, Monazea Eman, Saleh Medhat, Mohammed Hanaa
Public Health and Community Medicine, Faculty of Medicine, Assiut University, Egypt.
Faculty of Medicine, Assiut University, Egypt.
East Mediterr Health J. 2019 Oct 7;25(8):575-582. doi: 10.26719/emhj.18.065.
The initial years of life, particularly the first two years, are considered the most important for brain development and timely interventions profoundly affect the health of the child and families.
This study aimed to determine the effect of maternal health education on motor, social and cognitive development in infants less than two years old, and to identify the factors that could affect normal development.
Two hundred and ten mothers and their infants (109 interventions, 101 controls) were recruited from maternal and child health centres in Assiut Governorate, Egypt, in 2017. The maternal training programme has been taught to mothers of infants in intervention groups twice per month and up to five months' duration; however, routine services are provided to control groups only. Bivariate and multivariable analyses were performed to identify the most important predictors of normal development.
There were significant improvements in early childhood developmental domains for the intervention groups after five months comparable to the base line assessment. Percent of normal development among intervention groups in communication subscale increased from 46.8% to 76% to 97.9% compared to 50.5% to 46.8% to 57.4% in the control groups (baseline, after two month and after five months assessment respectively). The intervention was a significant predictor in normal development.
There was an improvement in early childhood developmental domains for the intervention groups after applying maternal training programme. Designing educational interventions for routine health care services that reach all children will provide mothers with the opportunity for improvement in early childhood developmental.
生命的最初几年，尤其是头两年，被认为对大脑发育最为重要，及时的干预会深刻影响儿童及其家庭的健康。
本研究旨在确定孕产妇健康教育对两岁以下婴儿运动、社交和认知发育的影响，并确定可能影响正常发育的因素。
2017年，从埃及阿斯尤特省的母婴健康中心招募了210名母亲及其婴儿（109个干预组，101个对照组）。对干预组婴儿的母亲每月进行两次孕产妇培训计划，为期五个月；然而，仅向对照组提供常规服务。进行双变量和多变量分析以确定正常发育的最重要预测因素。
五个月后，干预组的幼儿发育领域与基线评估相比有显著改善。干预组在沟通子量表中的正常发育百分比从46.8%提高到76%，再提高到97.9%，而对照组分别为50.5%、46.8%和57.4%（分别为基线、两个月后和五个月后评估）。该干预是正常发育的一个重要预测因素。
实施孕产妇培训计划后，干预组的幼儿发育领域有改善。为所有儿童提供的常规医疗保健服务设计教育干预措施，将为母亲提供改善幼儿发育的机会。
