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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurological maturation in the first semester of life in small for gestation age infants
Ana Maria L B Almeida-Basso1, Newra Tellechea Rotta
1General Hospital of University of Caxias do Sul Foundation, Neoatology Unit, City Out-Patient Clinic of Pediatrics Specialtird, Caxias do Sul RS, Brazil. anambasso@terra.com.br
Insights
Neuropsychomotor development in small for gestational age (SGA) infants shows some delays, particularly in head support by 3 months and speech development. However, other developmental milestones were comparable to infants with appropriate gestational age.
Area of Science:
- Neonatal development
- Pediatric neurology
- Developmental pediatrics
Background:
- Small for gestational age (SGA) infants represent a vulnerable population.
- Understanding their neurodevelopmental trajectory is crucial for early intervention.
Purpose of the Study:
- To evaluate the acquisition of neuropsychomotor development in full-term SGA infants during the first six months of life.
- To identify specific developmental milestones that may be delayed in SGA infants.
Main Methods:
- A cross-sectional study involving thirty full-term SGA newborns.
- Infants were followed for six months, with analysis of anthropometric data, epidemiological characteristics, neurological exams, and neuropsychomotor evolution.
- Comparison with literature data for infants appropriate for gestational age.
Main Results:
- Significant variations observed in the acquisition of certain abilities.
- Delayed head support at 3 months of age and delayed speech development were noted.
- Other developmental aspects showed similar progression compared to standard growth charts.
Conclusions:
- SGA infants may experience specific delays in early neuropsychomotor development, particularly in head control and speech.
- Further case-control studies are recommended to deepen the understanding of these developmental patterns and their underlying factors.
Abstract:
Our aim was to evaluate the acquisition of neuropsychomotor development marks in small for gestational age infants during the first six months of life. A non-controlled cross-section study with thirty full-term newborn small for gestational age infants was performed in a University Hospital in the Southern region of Brazil. These infants were followed up during six months and compared with literature data regarding adequate to gestational age newborn babies. Anthropometric data, epidemiologic characteristics, neurological exam and neuropsychomotor evolution were analyzed. There were significant variations in the acquisition of abilities, as the cephalic support at 3 months of age and delay in lalation. In other aspects, babies born small for gestational age evoluted in a similar way as newborn ones standards. It is suggested that case control studies are performed aiming at deepening the analysis of these studies.
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