关键词: 高危儿, 年龄与发育进程问卷-第三版, 粗大动作发育, 喂养行为, 辅食添加

Abstract: Objective To assess the association between maternal pregnancy age and feeding behavior with motor development among high-risk infants, in order to promote its application in the early intervention of high-risk infants. Methods A total of 227 high-risk infants who were born from March 2020 to February 2021 were investigated to get the information of health condition related risk factors, feeding patterns and complementary food addition condition were investigated and analyzed with Logistic regression analysis method. Results The rate of exclusive breastfeeding was 44.1% in high-risk infants within six months, and 74.9% began supplementary feeding when the high-risk infants were 4 to 6 months old. The detection rate of abnormalities in gross motor was 25.1%. There was significant difference in the effect of supplementary feeding patterns, fetal abnormalities during pregnancy and rescue history of perinatal asphyxia on gross motor development in male high-risk infants(χ² =5.77,4.45,5.70, P＜0.05). Not adding supplements during 4 to 6 months old (OR=3.90, 95%CI:1.27 - 12.03, P=0.018) and maternal pregnancy age＜16 years old or ＞35 years old (OR=14.72, 95%CI:1.71 - 127.00, P=0.014) were risk factors for abnormalities in the early development of gross motor of male high-risk infants. Conclusions High-risk boys who are not given complementary foods 4 to 6 months after birth and whose maternal pregnancy age was <16 years old or >35 years old will be at an increased risk for gross motor developmental problems. Education of women at childbearing age is supposed to be strengthened, and further studies on adding complementary foods are warranted, thereby promoting early intervention effect.

Key words: high-risk infants, Ages & Stages Questionnaires-Third Edition, fine motor development, feeding behavior, supplementary feeding