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Global Developmental Delay

Global Development Delay (GDD)

Global developmental delay is a broader term used to describe a condition wherein child usually takes longer time than usual to reach his developmental milestones.

Usually these involves delay in:

  • Cognitive functioning.
  • Speech and language.
  • Social and emotional skills
  • Daily activities.
  • Motor skills

A developmental delay in the above two or three areas is referred to as Global Developmental Delay.

Parents must be very alert in the initial first 3 years of their child.

GDD is less common and has a prevalence of affecting 1-3% of the population.

It is more oftenly seen in children less than 5 yrs of age.

SIGNS TO LOOK FOR IN CHILDREN

Parents normally come to know of it after their child is born. This could be due to a problem that developed before birth, a problem during birth (for example, if the baby did not get enough oxygen, or was born too early), a childhood illness or a physical accident during early childhood.

Look for the following signs in your child:

By 3 to 4 months:

  • irresponsive to loud noises.
  • has no babbling.
  • cannot imitate sounds (by 4 months)

By 7 months:

  • child does not roll over (in front or back), cannot achieve head control.
  • does not respond to sounds.

By 9 months:

  • cannot crawl.
  • unable to sit without support.
  • doesn’t respond to familiar names.

By 1 year:

  • if he/she is not speaking a single word (like “mama”)
  • unable to stand without support.
  • child has not yet started walking .

By 2 years:

  • cannot speak at least 15 words.
  • unable to use two word phrases without speech.
  • does not use speech to communicate more than immediate needs.
  • cannot walk.

CAUSES:

These includes Genetic as well as Acquired factors

GENETIC:

  • Down’s syndrrome.
  • Fragile X syndrome.
  • Metabolic syndrome.
  • Rett syndrome.

ACQUIRED:

  • Asphyxia.
  • Prematurity.
  • Infections.
  • Birth Trauma.
  • Abuse of drugs.
  • Intracranial Hamorrhage.
  • Psychosocial environment.
  • Improper nutrition.

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