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[Follow-up of children born from gestosis mothers]
Insights
Children born to mothers with EPH gestosis showed satisfactory growth. While most had normal IQs, some exhibited memory and vocabulary deficits, with significant psychomotor issues in severe gestosis cases.
Area of Science:
- Developmental Pediatrics
- Maternal-Fetal Medicine
- Neurodevelopmental Disorders
Context:
- Investigates the long-term effects of EPH gestosis (gestational hypertension and proteinuria) on child development.
- Examines a cohort of 70 children aged 2-10 years, born to mothers with varying degrees of EPH gestosis.
- Compares outcomes based on gestational age (term vs. preterm) and severity of maternal EPH gestosis (EPH1, EPH2, EPH3).
Purpose:
- To assess the auxological (growth) and neurodevelopmental outcomes in children exposed to EPH gestosis in utero.
- To identify potential correlations between maternal EPH gestosis severity and specific cognitive or psychomotor deficits in offspring.
- To evaluate the impact of preterm birth on developmental trajectories in this cohort.
Summary:
- Auxological outcomes were generally satisfactory, particularly after age five to six years.
- Two children presented with severe developmental retardation.
- Most children had normal IQs but demonstrated deficits in immediate memory and vocabulary subtests. Fifty percent of children from mothers with severe EPH gestosis exhibited discordant psychomotor behavior.
Impact:
- Highlights the need for targeted neurodevelopmental monitoring in children born to mothers with EPH gestosis.
- Suggests specific areas of cognitive function (memory, vocabulary) and psychomotor skills requiring early intervention.
- Informs clinical practice regarding the potential long-term sequelae of maternal hypertensive disorders during pregnancy.
Abstract:
Seventy children, born from mothers affected from EPH gestosis during pregnancy, were examined. They were two-ten years old, forty females and thirty males, nineteen preterms and fifty-one born at term. Their weight, and head circumference were estimated. Thirty-two children were submitted to terman Merril test and further thirty-eight to Picq Vayer test. The findings were evaluated according to term or preterm birth and to importance of mother's gestosis (EPH1, EPH2, EPH3). The auxological outcomes were satisfactory, particularly after the five-six years of age. Two children were heavily retarded. The others had a normal I.Q., but there was evident failure in immediate memory and in vocabulary's subtest. Moreover fifty % of heavier gestosis children revealed a discordant psycomotor behaviour due to specific failures.
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