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 children with CP (5.9 ± 3.3) at 1 minute was significantly 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 EP75290
- DOI -
- Views 132
- Downloads 0
Stigma of people living with HIV/AIDS
A specific character of HIV/AIDS has caused numerous complications either medical, legal or social. HIV infection exposes its carriers to frequent acts of intolerance or stigma by the healthy part of the population. Nega...
Exclusion from service consumption in Polish health care system
Purpose: The scientific objective of this research was to determine social groups affected by exclusion in Polish health care. Materials and methods: Survey was carried out among local government units and nongovernmenta...
Breast cancer in the women and health promotion
The breast cancer is the most frequent form of cancer in the women population. The possibility for the reduction rates of death from the cancer of breast depends on the convenient detection on an initial stage when the r...
Advanced glycation end products in the plasma and renal tissues in experimental model of unilateral renal artery stenosis
Purpose: To evaluate whether advanced glycation end products (AGE) levels are increased in the plasma and renal tissues of rats after unilateral renal artery stenosis (RAS). Materials and methods: AGE levels were measur...
Lifestyle and health behavior of school aged children in Krasnoyarsk (Russia), Lithuania and Grodno (Belarus)
Purpose: The aim of the study was to analyze the complex interaction of lifestyle-elements of school-aged children in Krasnoyarsk (Russia), Lithuania and Grodno (Belarus) for inactivity overweight and malnutrition that i...