Neonatal behavioral assessment among survivors of birth asphyxia using T.Berry Brazelton's NBAS
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2018, Vol 5, Issue 5
Abstract
Introduction: This study aims at providing baby-specific prognosisfor the survivors of birth asphyxia,regarding their neurological impairment, based on their behaviour assessment using T. Berry Brazelton′s NBAS. Methods: 56 HIE survivors were randomly selected and grouped into 3 as HIE 1,2,3 based on Sarnat HIE staging. NBAS was scored just before discharge which consists of 28 behavior items & 7 supplementary items (9 points scale) and 18 reflex items (4- point scale). Scores calculated and compared between groups. Results: The average score of HIE 1 babies were 65.01%, HIE 2 babies were 58.01% and that of HIE 3 babies were 41.75%. 60% of HIE 3 babies made a score less than 40%. 73% of HIE 2 babies scored between 50% and 60%. 88% of HIE 1 babies scored between 60% and 70%. More than 50% of HIE 1 babies had an abnormal reflex score less than 5 while more than 60% of HIE 2 babies scored between 6 and 10. HIE 3 were the worst to perform where 3 out of 5 babies scored >11. Sex of the babies, their birth weight and the mode of delivery showed no statistical significance for comparing them against the final % scores. Lower final scores were associated with higher abnormal reflex scores and vice versa. Conclusions: NBAS helps us to prognosticate a baby individually rather than relying on past personal experience on the treating neonatologist or the available non-directive statistics. Every birth asphyxia survivor needs to be administered NBAS before discharge from hospital. By identifying the strength one can boost the mother's confidence in looking after the child and ease the rehabilitation and further intervention as would be required.
Authors and Affiliations
S. Radhakrishnan, M. Singaravelu
Keywords
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- EP ID EP375328
- DOI 10.17511/ijpr.2018.5.03
- Views 149
- Downloads 0
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