Analysis of Obstetric Risk Factors in the Progression of Cerebral Palsy According to Data from Maternity Clinics in Almaty
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 18, Issue 5
Abstract
The problem of cerebral palsy worries all doctors in the world. The frequency of cerebral palsy is increasing every year. This is associated with improved resuscitation services and the treatment of such children. Today it is proved that it is impossible to single out one reason for the development of cerebral palsy, as the main one. A complex of factors leads to the development of periventricular leukomalacia, which leads to the flapping of cerebral palsy. Ante and intrapartum risk factors for developing cerebral palsy were studied on the basis of the analysis of the questionnaires of 150 parents of children with cerebral palsy (main group) and 150 parents of healthy children. The questionnaire contained 220 questions to study the social and medical factors, of which 77 questions were about obstetric risk factors for developing cerebral palsy. It was found that boys significantly more often develop cerebral palsy than girls (56.7 ± 4.0%), mothers of children with cerebral palsy have a low health index (thrombocytopenia (41.3 ± 4.0%), chronic arterial hypertension (37,3 ± 3.9%), hemorrhagic vasculitis, diabetes mellitus, thyroid disease, cardiac arrhythmias, myocardial dystrophy, myocarditis, APS syndrome all being 33.3 ± 3.8%. In 86 ± 2.8% of cases the first pregnancy of mothers of children with cerebral palsy was interrupted in one way or another. 70.6 ± 3.7% of pregnancies of mothers in the main group were complicated by signs of threatening abortion, which in 52.1% resulted in preterm delivery. Preterm delivery was more common in women with hypertensive complications of pregnancy. It was found that in the presence of acute infectious diseases of the respiratory tract in the first trimester of pregnancy, the frequency of birth of children with cerebral palsy increased significantly (33.3 ± 3.8%), and 45.3 ± 4.1% in the 2nd trimester, and 18 ± 3.1% of women suffered from sexually transmitted infections. In 6 ± 1.9% of cases of preterm delivery, children with extremely low birth weight were born, in 35.4% delivery occurred before 34 weeks, of which only 14% received diabetes prevention dexamethasone, leading to the need for long-term respiratory support for these newborns. 75.3% of children were born in a state of severe asphyxia, which also affected the state of the brain. In 3.3%, rapid and prolonged labor was observed, which led to the birth of 2% of children with birth trauma and 14% with trauma to the cervical spine. In 26% of cases, operative delivery was performed by cesarean section. Thus, with timely control of factors, the combination of which can lead to the development of cerebral palsy, timely prevention, diagnosis and rehabilitation of this disease is possible.
Authors and Affiliations
VN Lokshin, RB Isaeva, Sh K Sarmuldaeva, A Nurbakyt
Keywords
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- EP ID EP622312
- DOI 10.26717/BJSTR.2019.18.003222
- Views 137
- Downloads 0
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