Penelitian ini bertujuan untuk untuk mendeteksi awal keterlambatan bahasa dan bicara menggunakan early language milestone scale 2 (ELMS2) pada anak usia 18-36 bulan dengan faktor yang memengaruhi dan hubungannya dengan riwayat lahir prematur. Jumlah subjek penelitian sebesar 96 subjek, dengan 48 subjek anak lahir prematur (kelompok studi) dan 48 subjek anak lahir cukup bulan (kelompok kontrol). Sebanyak 22 subjek (68,8%) anak dengan riwayat lahir prematur mengalami keterlambatan bahasa dan bicara dibandingkan anak cukup bulan, p = 0,017; OR 3,2 (1,3-7,9). Faktor riwayat perawatan NICU, p < 0,001; OR 5.4 (2.0 - 14.5), riwayat kuning (jaundice), p = 0,046; OR 2.8 (0.9 - 7.7), riwayat kelurga dengan gangguan bahasa dan bicara, p = 0,003; OR 3.4 (2.5 - 4.6), jumlah screen time ³ 2 jam, p= 0, 030; OR 2.6 (1.0 – 6.5), status ekonomi, p= 0,017, dan pendidikan ibu, p<0,001 merupakan faktor yang memengaruhi kejadian keterlambatan bahasa dan bicara, sedangkan jumlah anak, p = 0,378 dan bilingualisme, p= 0,204, tidak memengaruhi kejadian keterlambatan bahasa dan bicara.

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This study aims to detect early language and speech delays using the early language milestone scale 2 (ELMS2) in children aged 18-36 months with influencing factors and their relationship with a history of premature birth. The number of study subjects was 96 subjects, with 48 subjects born prematurely (study group) and 48 subjects born at term (control group). A total of 22 subjects (68.8%) of children with a history of preterm birth had language and speech delays compared to full-term children, p = 0.017; OR 3.2 (1.3-7.9). Factors such as history of NICU care, p < 0.001; OR 5.4 (2.0 - 14.5), history of jaundice, p = 0.046; OR 2.8 (0.9 - 7.7), family history of language and speech disorders, p = 0.003; OR 3.4 (2.5 - 4.6), screen time ≥ 2 hours, p = 0, 030; OR 2.6 (1.0 - 6. 5), economic status, p = 0.017, and maternal education, p < 0.001 were factors that influenced the incidence of language and speech delay, while the number of children, p = 0.378 and bilingualism, p = 0.204, did not influence the incidence of language and speech delay.