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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
APPEARANCE OF NEURODEVELOPMENTAL DISORDERS IN CHILDREN DELIVERED POST-TERM: A CROSS-SECTION STUDY
Mladenka Vukojevic1, Ines Trninic2, Arta Dodaj3
1Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina.
Insights
Post-term delivery, or prolonged pregnancy, is linked to neurodevelopmental disorders in children. Intellectual disability was the most frequent diagnosis observed in this study group.
Area of Science:
- Pediatrics
- Neurodevelopmental Disorders
- Obstetrics
Background:
- Neurodevelopmental disorders (NDDs) are a significant concern in child health.
- The potential impact of prolonged pregnancy on child development requires further investigation.
Purpose of the Study:
- To investigate the occurrence of NDDs in children born post-term.
- To determine if prolonged pregnancy is a contributing factor to NDDs.
Main Methods:
- A cohort of 34 children with NDDs born post-term was studied.
- Data was collected over an 18-year period at a specialized clinic in Bosnia and Herzegovina.
Main Results:
- The study observed a higher incidence of NDDs in males (59.4%) compared to females (40.6%).
- Intellectual disability (38.2%) was the most prevalent NDD, followed by epilepsy (26.4%), delayed psychomotor development (14.7%), and cerebral palsy (11.7%).
- A significant correlation was found between maternal parity and post-term delivery.
Conclusions:
- Post-term delivery is suggested as a potential cause of neurodevelopmental disorders.
- Intellectual difficulties represent the most common NDD associated with post-term births in this cohort.
Goal:
To analyze the appearance of neurodevelopmental disorders in children delivered post-term and to find out whether prolonged pregnancy may be a cause of such disorders in a selected group participants.
Patients And Methods:
This study included a cohort of 34 children born post-term suffering from neurodevelopmental disorders who were treated at the Service for psycho-physiological and speaking disorders in Mostar, Bosnia and Herzegovina during an 18-year period.
Results:
There were 59.4% of male and 40.6% female patients (P=0.002). The most common neurodevelopmental disorder in the sample was intellectual disability (38.2%), followed by epilepsy (26.4%), delayed psychomotor development (14.7%), and cerebral palsy (11.7%) (P<0.001). The correlation between mothers' parity and post-term delivery was found (P=0.016).
Conclusion:
Post-term delivery may be the cause of neurodevelopmental disorders. The most common disorder among them were intellectual difficulties.
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