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Article: Cerebral palsy and the birth process

TitleCerebral palsy and the birth process
Authors
KeywordsApgar score
Asphyxia neonatorum
Brain damage, chronic
Cerebral palsy
Issue Date1999
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org
Citation
Hong Kong Medical Journal, 1999, v. 5 n. 3, p. 251-254 How to Cite?
AbstractOBJECTIVE. To review the relationship between cerebral palsy and the birth process. DATA SOURCES. Medline and non-Medline literature search and personal experience. STUDY SELECTION. Articles that commented on the routinely used markers of foetal distress, such as abnormal foetal heart rate, meconium-stained liquor, and foetal acidosis. DATA EXTRACTION. Data were extracted and reviewed independently by both authors. DATA SYNTHESIS. The use of meconium alone as a predictor of cerebral palsy has a high false-positive rate of up to 99.6%. No specific foetal heart rate pattern that can accurately predict subsequent neurological impairment, and a low Apgar score is not by itself an indication of intrapartum asphyxia. The presence of encephalopathy in a neonate after birth and the association of multi-organ system dysfunction are important clues to the prior occurrence of foetal asphyxia. CONCLUSION. Cerebral palsy can be caused by asphyxia associated with the birth process. To be able to attribute cerebral palsy to peripartum asphyxia, there should be a sequence of signs during labour, delivery, and the perinatal period. Honest and sympathetic discussion between the obstetrician, paediatrician, and parents is critical throughout the counselling process.
Persistent Identifierhttp://hdl.handle.net/10722/53562
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorLau, CTen_HK
dc.contributor.authorLao, TTHen_HK
dc.date.accessioned2009-04-03T07:23:15Z-
dc.date.available2009-04-03T07:23:15Z-
dc.date.issued1999en_HK
dc.identifier.citationHong Kong Medical Journal, 1999, v. 5 n. 3, p. 251-254en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/53562-
dc.description.abstractOBJECTIVE. To review the relationship between cerebral palsy and the birth process. DATA SOURCES. Medline and non-Medline literature search and personal experience. STUDY SELECTION. Articles that commented on the routinely used markers of foetal distress, such as abnormal foetal heart rate, meconium-stained liquor, and foetal acidosis. DATA EXTRACTION. Data were extracted and reviewed independently by both authors. DATA SYNTHESIS. The use of meconium alone as a predictor of cerebral palsy has a high false-positive rate of up to 99.6%. No specific foetal heart rate pattern that can accurately predict subsequent neurological impairment, and a low Apgar score is not by itself an indication of intrapartum asphyxia. The presence of encephalopathy in a neonate after birth and the association of multi-organ system dysfunction are important clues to the prior occurrence of foetal asphyxia. CONCLUSION. Cerebral palsy can be caused by asphyxia associated with the birth process. To be able to attribute cerebral palsy to peripartum asphyxia, there should be a sequence of signs during labour, delivery, and the perinatal period. Honest and sympathetic discussion between the obstetrician, paediatrician, and parents is critical throughout the counselling process.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.orgen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.en_HK
dc.subjectApgar scoreen_HK
dc.subjectAsphyxia neonatorumen_HK
dc.subjectBrain damage, chronicen_HK
dc.subjectCerebral palsyen_HK
dc.titleCerebral palsy and the birth processen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=5&issue=3&spage=251&epage=254&date=1999&atitle=Cerebral+palsy+and+the+birth+processen_HK
dc.identifier.emailLao, TTH: laotth@hkucc.hku.hken_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid11828064en_HK
dc.identifier.hkuros47605-

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