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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurobehavioral continuity from fetus to neonate
Milan Stanojevic1, Asim Kurjak, Aida Salihagić-Kadić
1Department of Obstetrics and Gynecology, Medical School University of Zagreb, Sveti Duh Cinical Hospital, Zagreb, Croatia. milan.stanojevic@optinet.hr
Journal of Perinatal Medicine
|February 12, 2011
Summary
Neurobehavioral assessments in fetuses and newborns reveal early central nervous system (CNS) development. Spontaneous movements are key indicators of brain function, potentially impacted by fetal development and intrauterine conditions.
Area of Science:
- Neuroscience
- Developmental Biology
- Pediatrics
Background:
- Neurobehavior reflects central nervous system (CNS) development from gestation.
- Endogenously generated motor patterns, including general movements, are observable pre- and post-natally.
- Spontaneous fetal activity may be a more sensitive marker of brain dysfunction than reflex testing.
Purpose of the Study:
- To investigate the significance of neurobehavioral patterns in fetal development.
- To explore the impact of intrauterine environment and nutritional stress on brain growth and function.
- To assess the potential of prenatal neurological assessment scoring systems for distinguishing normal from abnormal fetal development.
Main Methods:
- Observation of endogenously generated movement patterns from 7-8 weeks gestation.
- Analysis of spontaneous fetal activity and general movements.
- Evaluation of behavioral patterns continuity from prenatal to postnatal life.
Main Results:
- A rich repertoire of fetal movements emerges within weeks of initial observation and persists postnatally.
- Nutritional stress and unfavorable intrauterine environments can negatively impact fetal brain development.
- The sensitivity of spontaneous activity as an indicator of brain dysfunction is highlighted.
Conclusions:
- Continuity of behavioral patterns from prenatal to postnatal life is a significant area for further research.
- Prenatal neurological assessment requires further validation for low-risk pregnancies.
- Understanding early neurobehavior is crucial for identifying potential developmental issues.
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