Perinatal risk factors in children with serious motor and mental handicaps.

Abstract:

:Fifty children with marked neurological abnormality manifested by moderate or severe motor disability and severe mental retardation were compared with a large control population with respect to prospectively ascertained perinatal characteristics. None of 60 prenatal factors distinguished the affected group from controls. In labor and delivery, lowest fetal heart rate in the second stage of labor, arrested progress of labor, and use of midforceps discriminated between the two groups. Neonatal characteristics of children who were later severely handicapped differed from controls, particularly with respect to difficulty in initiating and maintaining respiration, intracranial hemorrhage, neonatal seizures, low birth weight and small head circumference, lowest hemoglobin or hematocrit, and overall neurological status. Multivariate analysis, including factors from all epochs, indicated that intracranial hemorrhage and neonatal seizures were the strongest independent discriminators between the neurologically impaired children and controls.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Nelson KB,Broman SH

doi

10.1002/ana.410020505

keywords:

subject

Has Abstract

pub_date

1977-11-01 00:00:00

pages

371-7

issue

5

eissn

0364-5134

issn

1531-8249

journal_volume

2

pub_type

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