Skrablin S, Maurac I, Banović V, Bosnjak-Nadj K. Perinatal factors associated with the neurologic impairment of children born preterm.
Int J Gynaecol Obstet 2008;
102:12-8. [PMID:
18387612 DOI:
10.1016/j.ijgo.2008.02.008]
[Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2007] [Revised: 02/04/2008] [Accepted: 02/10/2008] [Indexed: 11/15/2022]
Abstract
OBJECTIVE
To determine the perinatal risk factors of long-term neurologic impairment for preterm infants.
METHODS
A case-control study was conducted with 60 neurologically impaired and 60 healthy children, all born prematurely.
RESULTS
There was no relation between neurologic impairment and maternal pregnancy complications or prenatal steroid administration, bacteriologic content of cervical smear, fetal presentation, fetal heart rate, or mode of delivery. Cerebral palsy was associated with early neurologic signs, perinatal asphyxia, neonatal septicemia, abnormal brain ultrasound findings, prolonged interval between rupture of membranes and delivery, and multiple placental lesions. Children with minimal cerebral dysfunction were more frequently first born. Multiple placental lesions, neonatal septicemia, abnormal brain ultrasound findings, and perinatal asphyxia were independently correlated with long-term neurologic impairment.
CONCLUSION
Perinatal infection, perinatal asphyxia, and abnormal brain ultrasound findings seem to be risk factors for cerebral palsy whereas primigravidity seems to be correlated with minimal cerebral dysfunction.
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