Authors: Lindström, Katarina¹; Hallberg, Boubou²; Blennow, Mats²; Wolff, Kerstin³; Fernell, Elisabeth⁴; Westgren, Magnus³

Source: Acta Obstetricia et Gynecologica Scandinavica, Volume 87, Number 5, 2008 , pp. 503-509(7)

Publisher: Informa Healthcare

Abstract:

Background. The aim was to describe pre- and perinatal data and long-term neurodevelopmental outcome (15-19 years) in children born at term with Apgar score <7 at 5 min and moderate neonatal encephalopathy. Methods. The study is based on a population-based birth-cohort of children born in Sweden in 1985. Maternal, delivery, neonatal, and neuropaediatric data were compiled. Neurodevelopmental status was classified according to the presence of 1. cerebral palsy or other major impairments, 2. exclusively cognitive impairments, and 3. no impairments. Results. The majority of the children (81%) had cognitive dysfunctions, with or without other impairments, such as cerebral palsy. The rates of post-term birth (19% versus 8%) and breech presentation (12% versus 3%) were significantly higher than in the general Swedish population. Pre- and perinatal data did not differ notably between the three outcome groups. Questionable or suboptimal obstetric care was common (55%). Conclusions. The study shows that children born at term with moderate neonatal encephalopathy have a high rate of cognitive dysfunctions with or without cerebral palsy at long-term follow-up. Our pre- and perinatal data did not correlate with outcome.

Keywords: Cerebral palsy; cognition; development; hypoxic ischemic encephalopathy; impairments

Document Type: Research article

DOI: http://dx.doi.org/10.1080/00016340801996622

Affiliations: 1: Department of Neuropaediatrics, Children's Hospital, 2: Department of Neonatology, Children's Hospital, 3: Department of Obstetrics and Gynecology, Karolinska University Hospital Huddinge and Karolinska Institutet, 4: Department of Neuropaediatrics, Astrid Lindgren Children's Hospital Solna and Karolinska Institutet, Stockholm, Sweden

Publication date: 2008-01-01

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