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616.1-053.31-001.8-009 (6) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (978) |
SM ISO690:2012 CURTEANU, Ala. Dezvoltarea neurologică în perioada infantilă a nou-născuţilor la termen după un eveniment acut la naştere. In: Buletin de Perinatologie, 2016, nr. 2(70), pp. 39-47. ISSN 1810-5289. |
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Buletin de Perinatologie | |||||||
Numărul 2(70) / 2016 / ISSN 1810-5289 | |||||||
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CZU: 616.1-053.31-001.8-009 | |||||||
Pag. 39-47 | |||||||
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Globally asphyxia at birth is considered a major cause of morbidity and mortality. Aim of the work: assessment of neurological development by domains of development as well as the analysis of cranial perimeter growth at 2 years of life in newborns who suffered from neonatal encephalopathy. Material and methods. It was conducted a case-control study that included 104 term newborns who suffered from HIE. The children were examined according to the Bayley Scales of Infant and Toddler Development test – the 3rd edition (2004), cranial perimeter growth was as well examined at 3, 6, 9, 12, 18 and 24 months of life. Of 104 newborns investigated, 29 (group I) suffered from HIE at birth and 75 were conditionally healthy (group II, of control). Results. Of the 9 criteria proposed by ACOG (2002) to define asphyxia at birth, we found: HIE in all cases, of which 13,79% cases with severe evolution and 86,21% of cases with average severe evolution; metabolic acidosis in 6,9% of cases; cerebral palsy (CP) in 34,48% of cases; fetal heart rhythm disorders recorded at CTG in 65,52% of cases; Apgar score 0-3 points at 5 minutes of life in 13,79% cases and characteristic imaging signs in 31,3% of cases, evidence of polyorganic dysfunction in 44,83% of cases. Neurodevelopmental retardation in them was found in 62,07% of cases for expressive domain, in 48,27% of cases for cognitive domain and only in 34,48% of cases for motor domain. To note that severe retardation in all the domains mentioned constituted around 30% of cases, with minor differences. At the age of 1 year we observe a decrease of cranial perimeter in children from group I compared to the conditionally healthy children (p<0,05). Conclusions: The prevalence of severe disability in children who suffered from hypoxic event at birth constituted 34,48% of cases, mainly manifested by cerebral palsy or combined with other neurological comorbidities. Neurological development in these children is compromised, mainly on account of expressive and cognitive domains and less of motor domain. Monitoring of cranial perimeter growth in the case of neonatal encephalopathy helps to early detect the downturn of its growth, which is associated with the severity of the neurological pathology. |
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Cuvinte-cheie birth asphyxia, neonatal encephalopathy, cranial perimeter, newborn, neurodevelopment, disability |
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