New scoring system for fetal neurobehavior assessed by three- and four-dimensional sonography.

Abstract:

AIM:To produce a new scoring system for fetal neurobehavior based on prenatal assessment by 3D/4D sonography. We identified severely brain damaged infants and those with optimal neurological findings and compared fetal with neonatal findings. RESULTS:The new scoring system was retrospectively applied in a group of 100 low-risk pregnancies. After delivery, postnatal neurological assessment was performed, and all neonates assessed as normal reached a score between 14 and 20, which we assumed to be a score of optimal neurological development. Subsequently, the same scoring system was applied in the group of 120 high-risk pregnancies in which, based on postnatal neurological findings, three subgroups of newborns were found: normal, mildly or moderately abnormal, and abnormal. Normal neonates had a prenatal score between 14 and 20, mildly or moderately abnormal neonates had a prenatal score of 5-13, whereas those infants who were assigned as neurologically abnormal had a prenatal score from 0-5. CONCLUSION:A new scoring system for the assessment of neurological status for antenatal application is proposed, similar to the neonatal optimality test of Amiel-Tison. This preliminary work may help in detecting fetal brain and neurodevelopmental alterations due to in utero brain impairment.

journal_name

J Perinat Med

authors

Kurjak A,Miskovic B,Stanojevic M,Amiel-Tison C,Ahmed B,Azumendi G,Vasilj O,Andonotopo W,Turudic T,Salihagic-Kadic A

doi

10.1515/JPM.2008.007

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

73-81

issue

1

eissn

0300-5577

issn

1619-3997

journal_volume

36

pub_type

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