Researchers writing in Frontiers in Pediatrics examined why children with congenital heart disease (CHD)—heart problems present from birth—often don't receive developmental screening even though they face higher risks of autism spectrum disorder and other developmental differences.
The concern applies to pre-nursery aged children (0–3 years) born with heart conditions. While the study is a commentary rather than new research data, it draws on established evidence that developmental challenges occur more frequently in this group than in children without heart conditions.
Why heart conditions can affect brain development
During pregnancy, heart problems can disrupt blood flow to the developing brain. After birth, some children require surgery or extended hospital stays, which interrupts normal interactions and early learning experiences. Meanwhile, families managing intensive cardiac care often become so focused on immediate medical needs that developmental concerns go unnoticed.
The screening gap in Singapore's healthcare system
Singapore's healthcare is world-class, but highly specialised. Your cardiologist excels at heart care, but unless you specifically request developmental screening, it may not happen automatically. The research emphasises that many children don't receive formal assessments until school age—missing the critical early intervention window when outcomes are most responsive to support like speech therapy, physiotherapy, and occupational therapy.
Three steps to close the gap for your child
- Ask your cardiologist directly about developmental screening recommendations at your next appointment.
- Request a referral to early intervention services if your child shows any delays in speech, movement, or social interaction.
- Don't wait for concerns to emerge—formal screening during pre-nursery years catches issues when support is most effective.