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Communication is one of the challenges for children with severe and multiple disabilities due to their impairments (Turnbull et al, 2004). There is about forty percent of unknown causes of severe and multiple disabilities, but prenatal biomedical is the majority known cause of the disabilities.
Postnatal Causes of Developmental Disabilities in Children Aged 3- 10 Years -- Atlanta, Georgia, 1991. Primary prevention of developmental disabilities requires knowledge of the specific causes of these conditions. Postnatal causes account for 3%-15% of all developmental disabilities and often are preventable (1).