Developmental Status Of Children Research Articles

Comparison of the Developmental Status in Children Born Following Assisted Reproductive Technology and Spontaneous Pregnancy

Introduction: The assisted reproductive technology (ART) is an important option for fertility in infertile couples. The aim of infertility treatment is not only pregnancy, but also healthy children. However, there are challenges to the development of children born following ART. The present study aimed to compare the development status of children born following ART and spontaneous pregnancy. Methods: The study was a retrospective cohort study that investigated 84 children born following ART and 168 children born following spontaneous pregnancy at the same age. They had referred tocomprehensive health centers of Isfahan in 2019. The children were randomly systematically selected. Data collection tools included the researcher-made demographic information questionnaire, and standard ages and stages questionnaire. We evaluated the children's development in five developmental domains, namely communication, gross motor, fine motor, problem-solving, and personal-social domains. The data was analyzed using descriptive and analytical statistics by SPSS version 21 at a significance level of <0.05. Results: Analysis of covariance after adjusting the demographic variables indicated that the development domains had no statistically significant difference in children born following ART and spontaneous pregnancy (P>0.05). Pearson correlation coefficient test showed gross motor had a statistically significant association with the child's age (p =0.24, r = 0.075), birth weight (p =0.47, r = 0.045), current weight (p =0.34, r = 0.061), and current height (p =0.30, r = 0.066). Conclusion: There was no statistically significant differences in development of children born following ART and Spontaneous pregnancy. The gross motor had a statistically significant association with some demographic information of children.

Peningkatan Status Perkembangan Anak Prasekolah dengan Stimulasi Perkembangan

The children are not small adults, but have unique characteristics that are always growing and evolving since their conception until the end of adolescence. Good growth and development of children requires appropriate stimulation and accordance with the age such as developmental stimulation. The aim of this study was to determine the influence development simulations towards pre-school children’s growth status. This research was using the quasi-experimental design without control. The numbers of respondents were 30 children (with aged 60-72 month). The children with dubious developmental status had performed the development stimulations for 2 weeks for 3-4 housr a day and evaluated the development status. Developmental Pre-Screening Questionnaire (KPSP) instrument used in this research. The data analysis was using univariate analysis (frequency distributions), bivariate (Wilcoxon test) and multivariate (ANCOVA test). There was a significant difference in the children’s development status before and after development stimulation interventions (p= 0.000), but there was no children and mothers’ characteristic factors that affect the children development status. Stimulation associated with the value of child development, where the high category of stimulation is not found in children whose development category is slow. So it takes stimulation of children from an early age. Growth stimulations can be done routinely as a part of efforts to improve the children development status.

Data for action on early childhood development

Data for action on early childhood development

The usage of simulation technologies' tools to evaluate nutrition status and physical development in pediatrics

Rationale: Physical development of children is a marker of adequacy of nutrition, and affects adaptation, severity of pathological processes, rate of recovery, effectiveness of therapy, terms of hospitalization. Goals - To work out the skill of assessing physical development and nutritional status of children and adolescents in various ways, to carry out comparative analysis of methods

The Importance of Nutrition in Infancy: A Review

Nutrition has been linked to positive child development and nutritional status. In this review paper we briefly describe the role of exclusive breastfeeding and its importance in the brain development of infants. Breastfeeding has important for the development of central nervous system in infants First, six months of Breastfeeding is essential for the newborn child for improving the immune system of a newborn. Breastfeeding serves significant health benefits for the infant, promotes mother-infant bonding so Exclusive breastfeeding is recommended for around six months. Then we briefly describe the role of Complementary feeding, its importance in the physical development of the child in earlier life. This is also termed as ‘weaning food’, which has been used to describe the curtailment of breastfeeding. Complementary feeding entails the addition of solid foods to the diet, alongside, without replacement for the milk component. Apart from nutrition and feeding practices, certain other rearing practices also influence the health of infants and are widely prevalent among families or communities. Familiarity with rearing practices is of considerable significance to the promotion of infant health. The review also focuses on good nutrition for breastfeeding women, who have additional nutritional requirements. Breastfeeding mothers have increased energy needs and typically require additional energy intake. Apart from the energy the additional intake of good fat and vitamin C and minerals essential fatty acids etc. requirements are increases.

Pathways to prevention: Early Head Start outcomes in the first three years lead to long-term reductions in child maltreatment

While there is growing evidence that early childhood prevention programs can have positive outcomes for children and families, research has tended to focus on short-term outcomes, with fewer studies of long-term benefits. In addition, evaluations of such programs rarely go beyond the question, “does the program work?” despite numerous calls over the past decade for more research that can help understand how these programs have their effects. Using longitudinal, experimental data from the Early Head Start (EHS) Research and Evaluation Project (EHSREP) linked to child welfare agency records for 2794 children, we examined the effectiveness of EHS birth-to-three services in preventing child maltreatment during children’s first 15 years of life. Following this, we assessed whether changes in specific child and family outcomes at ages 2 and 3 acted as mediators for later maltreatment prevention. Results showed that EHS has a long-term impact on the likelihood of child welfare system involvement that is driven by earlier impacts on parenting behaviors, family well-being, and child developmental status. By children’s second birthday, families randomly assigned to participate in EHS had lower family conflict and parenting distress, and more positive parent-child interactions; these impacts, in turn, led to later reductions in the likelihood of children being involved with the child welfare system through age fifteen years. Furthermore, at age three, children in EHS were more attentive and engaged in play with their parents and had higher scores on cognitive development assessments compared to controls; these outcomes were similarly associated with long-term reductions in the likelihood of child maltreatment. These findings suggest that early two-generational programs, like EHS, that are able to successfully decrease family conflict and stress and support positive, emotionally responsive parenting and child development, may reduce the likelihood of abuse and neglect later in life.

Role and implementation experience of splints in pediatric burn rehabilitation

The maintenance of posture and anti-contracture treatment are the critical elements of comprehensive burn rehabilitation in the overall treatment period of pediatric burns. Although domestic experts in burn discipline have formulated guidelines for burn rehabilitation, the maintenance of posture and design and manufacture of splints for anti-scar contractures in children with burns are different from that for adults with burns in many ways. Starting with paying the attention to the rehabilitation problems in pediatric burns, especially considering the anatomical, psychological, and social behavior characteristics of children in developmental period, the author's team effectively applies splints to maximize the prevention of contractures in children and maintain and improve the range of their joint movements. The splints designed to prevent contractures in pediatric burns shall fit the small limb and meet their expected goals of rehabilitation. In each aspect of the production and use of splints, it is necessary to fully evaluate and consider the scar characteristics, growth and development status, activity level, and compliance of children, and adaptability and fixation methods of the splints, so as to select the appropriate splint type and formulate the wearing plan.

Prediction of Child Development based on Social Determinants of Health: A Path Analysis

Background: Many factors can effect on children's abilities and development. This study was conducted to investigate the effect of some risk factors as maternal health on child development using path analysis. Materials and Methods: This cross-sectional study was conducted on a total number of 608 mothers and their children, multistage sampling method, in the city of Yasouj, Iran. The data collection instrument was questionnaire-based. The researcher-made questionnaire included a demographic characteristics information form for mothers and a child profile form. Other questionnaires included Ages and Stages Questionnaire (ASQ), Socioeconomic Inventory, Social Support Appraisals (SS-A) scale, Perceived Stress Questionnaire (PSS-14), Perceived Stress Scale (14 items), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory(BDI-II), and Enrich Marital Satisfaction Scale. Mothers completed the questionnaires in 4 days and after that handed them over to the researcher in the kindergartens.To analyze the data, the SPSS software version 20.0 and LISREL 8.8 and path analysis test were used. Results: Amount of developmental delay was 17.4% and the minimum and maximum delays were reported in problem-solving, personal-social skills and communication domains. There was a significant correlation between developmental status of children and socio-economic status, depression, social support, anxiety and marital satisfaction but correlation between developmental status of children and perceived stress was not significant. The final path model fitted well (RMSEA= 0.018, CFI= 1, NFI=1, IFI=1). Maternal anxiety had the most significant effect on child development (βTotal = -0.24722). Conclusion: Many factors including socio-economic status, maternal anxiety, perceived stress, social support, anxiety, and depression can affect on the developmental status of 3 to 5 year-old children.

SUN-076 Somatic and Neurodevelopmental Outcome and Muscle Tone in 5 to 9 Year Old Children Born After Intracytoplasmic Sperm Injection

Introduction: Assessing the development and health status of children born after assisted reproductive techniques is very important. This also applies to somatic and neurological development. Little is known on the development of muscle tone in children. Aim of our study was to evaluate the somatic and neurological development in children born after intracytoplasmic sperm injection (ICSI) with special focus on proximal muscle tone. Material and methods: A group of 82 singletons (ICSI) aged 5–9 years (42 M, 40 F) and a control group of 82 singletons spontaneously conceived (SC), all with low morbidity, were compared by age and sex. Comprehensive assessment by endocrinologist, clinical anthropologist and pediatric neurologist was performed. Results: Both ICSI and SC children had normal somatic development. In the standard neurological testing, motor development did not differ significantly in ICSI children compared with the general population. Nevertheless, some coordination abnormalities tested by diadochokinesis and by the finger-nose test, were found in all but 7 ICSI children (ICSI in 91 % versus SC in 9 %; p<0.001). A prominent hypotonia of upper girdle muscles tested by the scarf sign was found in all but 4 ICSI children (ICSI in 95 % versus SC in 61 %; p<0.001). In the contrary, no difference was found for lower girdle muscle tone in ICSI versus SC children. Any of the factors tested for possible relationship to upper girdle muscle hypotonia was not found to be significant. Conclusions: As far as we know, this study is the first evaluation of proximal muscle tone in ICSI children aged 5 - 9 years. Subtle changes in the neurological status were revealed comparing ICSI and SC children, i. e. the prominent upper girdle muscle hypotonia and the coordination changes. The hypotonia can be explained by a slight change in the muscle tone maturation and movement coordination. The ICSI method very likely does not have any negative effect on the neurodevelopmental outcome of children. Nevertheless, the development of muscle tone and coordination in ICSI children should be monitored. Early diagnosis of these abnormalities helps to early initiation of appropriate therapy and thus avoids possible complications.

Promoting family integrated early child development (during first 1000 days) in urban slums of India (fine child 3-3-1000): Study protocol.

This project tests a novel, targeted home visitation programme for child development targeted behaviour change during the first 1,000days for families in Delhi urban slums. The first 1,000days have highest brain development potential and is dependent on the available nutrition, health, social and cognitive stimulus. Over 1.3 million children are born annually in the slums of India and are at risk of limited development potential. The children in urban slums at multiplicity of adversities at family, society and environmental levels. No tools are available for the community health functionaries to support the families to promote child development. This cohort study targets provision of behaviour change interventions targeted at three groups (pregnant women, infants and children in year 2) to document the impact on child development. This implementation project delivers nutrition, health and child stimulation integrated services for the families through existing government community health workers and nurses. These workers shall train the families using audio-visual messages in tablets and demonstration kits for practice through quarterly home visits. Data on health, nutrition and child development shall be collected at baseline, midterm and after one year. The data from these participants shall be compared with data from recently delivered women, children aged 13months and 25months without intervention to document the impact. The successful implementation of the project has potential for future integration of the child development components into the existing programme at scale. The learning from this project shall be useful for India and other developing countries. The first 1,000days are critical period in human brain development and cognitive function acquisition potential, which is dependent on the available nutrition, health, social and cognitive stimulus. The development potential in children born and living in the slums, who are exposed to various adversities, can be mitigated through appropriate family-level practices with support from the community health workers and Nurses. This study is documenting the feasibility and impact of home visit linked coaching of families for improving child development status during the first 1,000days in three sums of Delhi, India.

Nutritional and metabolic parameters of children and adolescents with phenylketonuria.

Considering that phenylalanine-poor diets may be monotonous and compromise the development and nutritional status of children and adolescents with phenylketonuria, the aim of this study was to evaluate the anthropometric and biochemical characteristics of children and adolescents with this condition. Retrospective study with anthropometric and biochemical data collection from patients with phenylketonuria in the age group 2-19.9 years. Nutritional status was classified according to the World Health Organization. Biochemical tests were compared to current recommendations. A total of 84 patients (71.8%) were eligible, with a median age of 10.7 years (2.4-19.9 years). There was predominance of adequate (n=58, 69%) with presence of overweight and obesity in 24 (28.5%) patients. The biochemical tests revealed hyperphosphatemia in 46 (55%), hypertriglyceridemia in 27 (50%), vitamin B12 elevated in 34 (41.2%), selenium deficiency in 10 (13.7%), insufficient zinc in 7 (8.9%), low globulin in 21 (26.9%), low HDL in 35 (59.3%) and elevated phenylalanine level in 28 (34.5%) patients in the sample. Overweight and obesity were correlated with low HDL (p=0.04) and lowest adequate frequency of LDL (p=0.09). Higher phosphorus values were associated with lower body weight (r=-0.72) and age (r=-0.75), as well as vitamin B12 in the same parameters (r=-0.67 and r=-0, 68). A positive correlation of phenylalanine with body weight and age (r=0.62 and r=0.66) was observed. Most patients presented adequate according to anthropometric parameters and appropriate biochemical tests, except HDL, and moderate metabolic control of the disease. However, attention should be paid to the presence of overweight and need for biochemical monitoring of triglycerides, selenium, zinc, HDL, and phenylalanine.

Child development and nutritional status in 12\u201359\u2009months of age in resource limited setting of Ethiopia

BackgroundEarly years of life are period of maximal growth and development of human brain. Development of young child is influenced by biological endowment and health of child, nutritional status of child, relationships with primary caregivers, family, and support systems in the community. This study was aimed to assess childhood development in relation to their nutritional status.MethodCommunity-based cross-sectional study was employed. Multi–stage systematic random sampling technique was used to select 626 children aged 12-59 months with mother/caregivers’ pairs in Wolaita district in 2015. Child development assessment was done using third edition of age and stage questionnaire. Height and weight were measured by trained data collectors then the WHO Anthro version 3.2.2 software was used to convert nutritional data indices. Data were entered into Epi-info version 3.3.5 and was exported and analyzed using STATA version 14. Correlation and multiple logistic regression were used.ResultHigh risk of developmental problem in children were 19.0% with 95% CI (16.06%, 22.3%), and it is expressed as communication 5.8%, gross motor 6.1%, fine motor 4.0%, personal social 8.8%, and problem solving 4.1%. One-third (34.1%) of the study participants were stunted while 6.9% and 11.9% of them were wasted and underweight respectively. Weight-for-age (WAZ) and height-for-age positively correlated with all five domains of development, i.e., with communication, gross motor, fine motor, personal social, and problem solving (r = 0.1 − 0.23; p < 0.0001, and r = 0.131 − 0.249; p < 0.0001) respectively.Conclusion and recommendationOverall child development was directly related with nutritional status. So, available resources should be offered to decrease children undernutrition. Further assessment on childhood development of children is necessary

A factorial cluster-randomised controlled trial combining home-environmental and early child development interventions to improve child health and development: rationale, trial design and baseline findings

BackgroundExposure to unhealthy environments and inadequate child stimulation are main risk factors that affect children’s health and wellbeing in low- and middle-income countries. Interventions that simultaneously address several risk factors at the household level have great potential to reduce these negative effects. We present the design and baseline findings of a cluster-randomised controlled trial to evaluate the impact of an integrated home-environmental intervention package and an early child development programme to improve diarrhoea, acute respiratory infections and childhood developmental outcomes in children under 36 months of age living in resource-limited rural Andean Peru.MethodsWe collected baseline data on children’s developmental performance, health status and demography as well as microbial contamination in drinking water. In a sub-sample of households, we measured indoor kitchen 24-h air concentration levels of carbon monoxide (CO) and fine particulate matter (PM2.5) and CO for personal exposure.ResultsWe recruited and randomised 317 children from 40 community-clusters to four study arms. At baseline, all arms had similar health and demographic characteristics, and the developmental status of children was comparable between arms. The analysis revealed that more than 25% of mothers completed primary education, a large proportion of children were stunted and diarrhoea prevalence was above 18%. Fifty-two percent of drinking water samples tested positive for thermo-tolerant coliforms and the occurrence of E.coli was evenly distributed between arms. The mean levels of kitchen PM2.5 and CO concentrations were 213 μg/m3 and 4.8 ppm, respectively.ConclusionsThe trial arms are balanced with respect to most baseline characteristics, such as household air and water pollution, and child development. These results ensure the possible estimation of the trial effectiveness. This trial will yield valuable information for assessing synergic, rational and cost-effective benefits of the combination of home-based interventions.Trial RegistryISRCTN-26548981.

Children's Body Odors: Hints to the Development Status.

Mothers can recognize their own children by body odor. Besides signaling familiarity, children’s body odors may provide other information relevant to maternal caregiving behavior, such as the child’s developmental status. Thus, we explored whether mothers are able to classify body odors on pre- vs. postpubertal status above chance levels. In total, 164 mothers were presented with body odor samples of their own and four unfamiliar, sex-matched children who varied in age (range 0–18 years). Pubertal status was measured by (a) determining the child’s steroid hormone level and (b) parental assessment of the child’s developmental stage using the Pubertal Development Scale. Mothers classified developmental status with an accuracy of about 64%. Maternal assessments were biased toward pre-puberty. Classification was predicted by perceptual evaluation of the body odor (i.e. intensity and pleasantness) and by the child’s developmental stage, but not by hormones. In specific, mothers with pubertal-aged children classified body odors using the child’s developmental status, whereas mothers with younger children only classified body odors using perceptual information (i.e. intensity and pleasantness). Our data suggests that body odors convey developmental cues, but how this developmental information is manifested in body odor remains unclear.

Assessment of Nutrition Status of Children with Chronic Renal Failure Undergoing Hemodialysis

Chronic renal failure is a worldwide health problem, with increasing prevalence and adverse outcomes. Children's nutritional status reflects the degree to which physiologic needs for nutrients are being met. In challenges of pediatric nurse role, she must gathering data for nutrition assessment, provide education regarding dietary modifications, encourage appropriate food choice, and evaluate the adequacy of nutrient intake for children with CRF as they are already in risk for poor nutritional health. Aim of the study was to assess the nutritional status of the school age children with CRF undergoing hemodialysis. Setting it was carried out in hemodialysis unit of Alexandria University Children at El-Shatby Hospital (AUCH) and Health Insurance Student's Hospital (HISH) in Alexandria, Egypt. Subject: A convenient sample of all children (30) with chronic renal failure undergoing hemodialysis was involved. Materials and Method: A structured interview questionnaire was designed and used to interview the child or mothers. It included nutritional assessment of studied children such as Physical examination, anthropometric measurements and lab investigation. The results revealed that the majority of studied children had height, weight, BMI, MAC, TSFT less than normal. The majority of children were anemic. Most of children had low in vitamins such as A (93.3%), C (93.3%) and D (100%). 63.3 % of the studied children had hypoalbuminaemia. high percent of children had hypocalcemia and hypokalemia. All of studied children had hypercreatinemia. Recommendation: nutritional counseling should be performed based on individualized assessment of children with consideration of the children age, development, food preference, activity, cultural beliefs, and psychological status.

Is parent engagement with a child health home-based record influenced by early child development and first-born status? hypotheses from a high-income countries’ perspective

Home-based records for child health are widely used for documenting primary healthcare services including vaccinations and health screening. It serves as an educational tool for parents and promote continuity of care as well as communication between health professionals and parents. In our previous systematic review, we identified that parents in low- and middle-income countries and high-income countries value such a record and consider it important for childcare, yet questions were raised about its wide distribution and utilisation in high-income countries. We therefore aim to examine predictors that could be related to the use/usefulness of the record book in a high-income country, Australia. We hypothesize that parent engagement with the child health home-based record may be influenced by early child development (in-terms of age and hitting milestones) as measured by parent evaluation of developmental status (PEDS) tool and first-born status of the child (as compared to later-born). To test these hypotheses, we will be conducting a community-based survey and review of the record books across New South Wales state of Australia. This paper includes a summary of the findings of our previous review study that prompted the development of these hypotheses and the study protocol we will follow to test these hypotheses.

Mother-child interaction and the development status of children who have been accidentally poisoned.

Positive parent-child interaction, in particular bond between mother and child, is important for the mental and behavioral development of children. The aim of this study was to evaluate both mother-child interactions as well as the developmental status of children admitted to the pediatric emergency department with accidental poisoning using Parenting Interactions with Children: Checklist of Observations Linked to Outcomes tool (PICCOLO) and Denver Developmental Screening Test-II (DDST-II). Children between ages 1 to 5 years who were admitted to the emergency department with accidental poisoning were included in the study alongside a control group selected from healthy volunteers. A ten-minute video recording was obtained both for the case and control groups, while the mother and her child played together in a separate room. The interaction of mother-infant pair was assessed using the PICCOLO tool. The children`s development was examined using the DDST-II. The video recordings of 115 children (n=65 in the case group and n=50 in the control group) were evaluated. A high score of PICCOLO-teaching domain (≥9 points) was associated with a 3.3-fold increase in terms of risk of poisoning [p < 0.05, at 95% confidence interval (CI) of 1.34-8.37]. Multivariable analysis revealed that the PICCOLO-teaching domain was a significant factor. A high proportion of cases had either abnormal or questionable DDST-II scores (p < 0.05). In order to improve the bond between mother and child, drug poisoning prevention training must be meticulously provided to both mothers and children alike. Developmental assessments of these children as a holistic approach also should not be forgotten.

Odnos između problema u perinatalnom periodu i zastoja u razvoju kod dece starosti od četiri do dvadeset četiri meseca

Normal development is one of the reliable criteria for the assessment of children's health status. Perinatal events affect the future development of children. Nevertheless, there are different views on the impact of events in the perinatal period on child development. The aim of this study was to determine the relationship between perinatal period and developmental delay in 4-24-month-old children. Three hundred and thirty children aged 4-24 months who were referred to Imam Reza Clinical Development Center and Shiraz Health Centers were enrolled. Information about perinatal events was collected by a researcher-made questionnaire containing demographic and reproductive information related to pregnancy, delivery and neonatal period. The developmental status of children was evaluated by age and stage questionnaire. Data were analyzed using Chi-square, Mann-Whitney and logistic regression by SPSS version 14. Sex (P = 0.025), maternal medical problems (P = 0.011), fetal distress (P = 0.022), history of hospitalization in the neonatal intensive care unit (P &lt; 0.001), severe neonatal jaundice (P = 0.005) and small for gestational age (P= 0.012) after controlling the confounding of other factors had a significant effect on developmental delay. The results of this study showed that being male, having maternal medical problems, fetal distress, the history of hospitalization in the neonatal intensive care unit, severe neonatal jaundice and small for gestational age can predict developmental delay. Special attention to screening of children who are at risk of developmental delay due to perinatal conditions can be effective in early diagnosis of developmental delay.

PLACENTAL DYSFUNCTION: HEALTH STATUS, NUTRITIONAL STATUS AND MINERAL PROFILE OF A MOTHER-CHILD PAIR

The aim: the analysis of the PD, pregnancy, the labor, the research on peculiarities of the development and health status of breast-fed children, who are born to mothers with PD, by means of analyzing the mother-child pair's nutritional status and mineral homeostasis. Materials and methods: At the 1 stage, an analysis of the PD frequency, the pregnancy, the labor was conducted during 5 years. At the 2 stage, 188 mother-child pairs were examined: 84.04% women had PD and 15.96% didn't have it. The research included the analysis of the anamnestic data, maternal nutritional status, general clinical study, assessment of the physical, psychomotor level of the child's development, study of the elemental profile. Results: High frequency of complications in pregnancy and labor was observed in cases when women had PD, due to the imbalance in the "mother-placenta-fetus" system. The results' analysis showed an increased level of Zn (1.437%), K (10.147%), and Ca (83.900%) in hair; an increased level of K (82.818%), Cr (0.274%), and Na (3.611%) in breast milk of women with PD. Children born to mothers with PD had a significantly increased level of Cr (0.92%), S (0.578%) and P (0.169%), Na (0.107%), Ca (56.041%), and Zn (7.149%). Conclusions: PD has a negative impact on the pregnancy and labor and may be one of the factors causing the mineral imbalance of breast-fed infant.

Cochlear implant outcomes in children with attention-deficit/hyperactivity disorder: Comparison with controls

ObjectivesThe coincidence of attention-deficit/hyperactivity disorder (ADHD) and hearing loss in the children has adverse effects in speech, cognition, communication and motor development. This can influence cochlear implant (CI) outcomes negatively. The aim of this study was to compare auditory, language, speech, cognition, communication and motor outcomes between CI children with versus without ADHD. MethodsNineteen CI children with ADHD and twenty-three age and gender matched children without ADHD at the Shiraz CI center ranging in age from 37 to 60 months were participated in this cross-sectional study. The developmental quotient in auditory, receptive and expressive language, speech and cognition skills was evaluated through Newsha Developmental Scale. The Persian version of the Ages and Stages Questionnaire (ASQ) was used to assess children's developmental status in fine and gross movements, communication, problem solving, and personal-social domains. A comparison of the results between two groups was made by the Mann-Whitney test. ResultsCI children with ADHD had significantly lower Newsha developmental quotients in cases of auditory, receptive and expressive language, speech and cognition skills compared to the control group (P = 0.027 to <0.001). A significant difference was observed between children with and without ADHD in fine and gross movements, communication, problem solving, and personal-social domains of ASQ at 60 months (P = 0.029 to 0.003). ConclusionChildren with ADHD showed decreased ability in auditory, language, speech, cognition, motor and communication skills following CI compared to children without ADHD. It can guide clinician to provide these children with more specific rehabilitation program to improve their skills.