Abstract
Birth asphyxia and low birth weight were important causes of mental retardation, delayed development,
learning disabilities and cerebral palsy. This retrospective research was aimed to study the outcome
of Thai Child Development Integration Project in Sungmen Hospital. The subjects studied were 51
patients who attended the Well Child Clinic from October 1, 2013 to September 30, 2015. Developmental
Assessment for Intervention Manual [DAIM] was used to evaluate child development. The majority of
patients were low birth weight (86.3%) and were female (64.7%). Most of the low birth weight (72.7%)
were intrauterine growth restriction. The influencing factors of birth asphyxia were from delivery and
abnormal delivery (57.1%). Most mothers had secondary education (37.2%). Primary caregivers were
parents/grandparents (51%). Infants fewer than six months of age were predominant breastfeeding (62.1%).
The majority of patients had normal child development (78.3% - 97.8%). The growth, weight for age,
height for age and weight for height were normal in range. Neurodevelopmental assessment at 1, 4 and 12
months of age were normal. Anemic patients (hematocrit less than 33%) at 6 months of age were 22.6%.
Iron supplement statistically improved anemic condition (P = 0.012). The Thai Child Development Integration
Project could be established in a community hospital by training DAIM skill and be most effective
for birth asphyxia and low birth weight.
