Selected risk factors for spastic cerebral palsy in a retrospective hospital–based case control study
Journal Title: Progress in Health Sciences - Year 2014, Vol 4, Issue 2
Abstract
Introduction: Cerebral palsy (CP) is caused by damage to the motor control centers of the developing brain and can occur during pregnancy, during childbirth, or following birth. Purpose: To study the selected risk factors for spastic CP in a retrospective study involving children with CP. Materials and methods: The study population included 92 children with spastic CP. The analysis of data from the case records of both groups included the following: child’s age, gender, pregnancy order, birth order, type of birth, time of birth, Apgar scores, birth weight, epilepsy, and psychomotor development. Results: CP occurred more often in boys. A total of 27 children had congenital hemiplegia, 35 had diplegia, and 30 had spastic tetraplegia. The mean gestational age at birth for children with CP was 35.96 ± 4.2 weeks versus a mean of 39.2 ± 1.4 (p<0.001) for the control group. The mean number of pregnancies and deliveries for mothers of children with CP compared to the control group did not differ significantly. Vaginal births and cesarean sections in the group of children with CP and controls occurred in similar percentages. The birth weight of children with CP (2615.8 ± 935.1) was significantly lower than the birth weight among the control group (3343.2 ± 497) (p=0.04). Almost 40 percent of the children with CP were born to mothers who had preterm labours compared to only 5.2 percent of controls. A mean Apgar score for chil¬dren with CP (5.9 ± 3.3) at 1 minute was sig-nificantly lower than that for children without CP (9.10 ± 1.5) (p<0.001). Of the children with CP, 20 percent had epilepsy; none of the children without CP had epilepsy; 22 percent had slight delays, 17 percent had moderate delays, and 12 percent had severe delays. Conclusions: Gender, prematurity, low birthweight, asphyxia and epilepsy were related to the development of CP.
Authors and Affiliations
P. Kułak, E. Maciorkowska
Keywords
Related Articles
- EP ID EP110991
- DOI -
- Views 80
- Downloads 0
Assessment and physical activities of daily living among patients under long-term home care nursing
Purpose: To assess the degree of independence in physical activities of daily living for patients under long-term in-home nursing care; to evaluate any changes in physical activities of daily living at entry and after 90...
Obesity and its impact on the course of anesthesia
Introduction: Obesity is a major problem for millions of citizens. The treatment of obesity is a problem of nutritionists, psychologists, physical therapists, internists, surgeons, anesthesiologists, and many other spec...
Abnormalities of the corpus callosum: Magnetic resonance imaging analysis in children
Purpose: This study reports the clinical profile of children with abnormalities of the corpus callosum in magnetic resonance imaging (MRI). Materials and methods: Children with agenesis of the corpus callosum (AC...
Patients and nurses attitude towards pain management with alternative methods
Introduction: Alternative therapeutic methods are used frequently by health care professionals for pain management, particularly for patients whose disease is in advanced stage. Purpose: To assess attitudes toward alter...
Cell therapy: a new hope for treatment of cerebral palsy ?
Cerebral palsy (CP) is the most frequent neurological disorder associated with perinatal injury of the developing brain. The beneficial impact of stem cells (neural stem cells, mesenchymal stem cells, and embryonic stem...