AI Summary & Key Takeaways
AI InsightIt was found cerebral palsy in11 babies (11.5%) with the neurological examination and developmental retardation in 15 babies (15.6%) with DDST-II.
📌 3 Key Takeaways
Özet
Objectives: This study aimed to evaluate the neuromotor development of premature babies and to determine the risk factorsaffecting neuromotor development in the middle time (3 years).Methods: All babies with ≤34 weeks gestational age and born between 2011-2014 and hospitalized in our neonatal clinic were includedin this study. Prenatal, perinatal and postnatal features of the babies were recorded. Consent was obtained from the familieswho had an outpatient follow-up and agreed to participate in this study. Neurological examination and Denver II DevelopmentalScreening Test (DDST-II) were applied to babies and their results were recorded. Factors affecting neurodevelopment were evaluated.Results: Complete data for 96 of the study infant were obtained. Fifty (52.1%) of the cases were female. The mean birth weightwas 1542±518 grams. The mean corrected age was 20.9±10.7 months at the time of the examination. It was found cerebral palsy in11 babies (11.5%) with the neurological examination and developmental retardation in 15 babies (15.6%) with DDST-II. Low birthweight, a gestational period of 25-26 weeks, Apgar score at 5th minute <7 were found to be the main risk factors for cerebral palsyand abnormal DDST-II result (p<0.05). In babies with abnormal neurological examination, the frequency of bronchopulmonarydysplasia, sepsis and intraventricular hemorrhage were found to be high (p<0.05), and in babies with abnormal DDST-II results thefrequency of respiratory distress syndrome, bronchopulmonary dysplasia and sepsis were found to be high (p<0.05).Conclusion: In our study, abnormal neurological examination rate was found 11.5% in preterm infants with gestational age ≤34weeks, and the rate of abnormal DDST-II was found 15.6%. The main factors affecting neuromotor development were gestationalweek, birth weight and 5th minute Apgar score. The frequency of bronchopulmonary dysplasia, sepsis and intraventricular hemorrhagein babies with abnormal neurological examination, and the frequency of respiratory distress, bronchopulmonary dysplasiaand sepsis were found to be high in babies with abnormal DDST-II.