LONGITUDINAL FAMILY ACCOMPANIMENT IN THE FIRST 1.000 DAYS: FROM VERY HIGH-RISK PREGNANCY TO 18-MONTH CHILD DEVELOPMENT: A CASE STUDY

Mangde Anata Sindhu

doi:10.5281/zenodo.23094454

Authors

Mangde Anata Sindhu Universitas Warmadewa

DOI:

https://doi.org/10.5281/zenodo.23094454

Keywords:

child growth and development, family accompaniment, first 1,000 days of life, high-risk pregnancy, neonatal jaundice

Abstract

Background: The first 1,000 days of life extend from conception to a child's second birthday and represent a critical period for maternal and child health. Longitudinal family accompaniment may support maternal risk identification, neonatal follow-up, feeding practices, and growth and developmental monitoring. Case: A 27-year-old woman with obesity and a high-risk obstetric history received longitudinal accompaniment during the first 1,000 days of life. In the third trimester, breech presentation was identified and the pregnancy risk-screening score was 20, indicating very high risk. A term female infant was delivered by caesarean section because of maternal hypertension and fetal malposition. Birth weight was 2,750 g, length was 47.7 cm, and the recorded Apgar score was 8. Clinical neonatal jaundice resolved on follow-up. Complementary feeding before six months was identified as the priority problem and addressed through family education. At 18 months, the child's weight was 10.6 kg, length 80.5 cm, and head circumference 46.5 cm; nutritional status was recorded as good and developmental prescreening was age-appropriate. Conclusion: This case illustrates continuity of family-centred accompaniment from very high-risk pregnancy to 18 months. Causal effects cannot be inferred from a single case without a comparator.

Downloads

Download data is not yet available.

References

Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., & Riley, D. (2014). The CARE guidelines: Consensus-based clinical case reporting guideline development. Journal of Clinical Epidemiology, 67(1), 46-51. https://doi.org/10.1016/j.jclinepi.2013.08.003

Heslehurst, N., Vieira, R., Akhter, Z., Bailey, H., Slack, E., Ngongalah, L., Pemu, A., & Rankin, J. (2022). Association between maternal adiposity measures and adverse maternal outcomes of pregnancy: Systematic review and meta-analysis. Obesity Reviews, 23(7), e13449. https://doi.org/10.1111/obr.13449

Kementerian Kesehatan Republik Indonesia. (2020a). Pedoman pelayanan antenatal terpadu [Guidelines for integrated antenatal care]. Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2020b). Pedoman pelayanan antenatal, persalinan, nifas, dan bayi baru lahir [Guidelines for antenatal, childbirth, postpartum, and newborn care]. Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2020c). Pedoman pemantauan pertumbuhan [Guidelines for growth monitoring]. Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2024). Buku kesehatan ibu dan anak [Maternal and child health handbook]. Kementerian Kesehatan Republik Indonesia.

Kemper, A. R., Newman, T. B., Slaughter, J. L., Maisels, M. J., Watchko, J. F., Downs, S. M., Grout, R. W., Bundy, D. G., Stark, A. R., Bogen, D. L., Holmes, A. V., Feldman-Winter, L. B., Bhutani, V. K., Brown, S. R., Maradiaga Panayotti, G. M., Okechukwu, K., Rappo, P. D., & Russell, T. L. (2022). Clinical practice guideline revision: Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics, 150(3), e2022058859. https://doi.org/10.1542/peds.2022-058859

World Health Organization. (2006). WHO child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. World Health Organization.

World Health Organization. (2013). Essential nutrition actions: Improving maternal, newborn, infant and young child health and nutrition. World Health Organization.

World Health Organization. (2023a). Infant and young child feeding. Retrieved September 23, 2026, from https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding

World Health Organization. (2023b). Exclusive breastfeeding for optimal growth, development and health of infants. Retrieved September 23, 2026, from https://www.who.int/tools/elena/interventions/exclusive-breastfeeding

World Health Organization, United Nations Children's Fund, & World Bank Group. (2018). Nurturing care for early childhood development: A framework for helping children survive and thrive to transform health and human potential. World Health Organization.