New scoring system for fetal neurobehavior assessed by three- and four-dimensional sonography
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Asim Kurjak
Abstract
Aim: To produce a new scoring system for fetal neurobehavior based on prenatal assessment by 3D/4D sonography. We identified severely brain damaged infants and those with optimal neurological findings and compared fetal with neonatal findings.
Results: The new scoring system was retrospectively applied in a group of 100 low-risk pregnancies. After delivery, postnatal neurological assessment was performed, and all neonates assessed as normal reached a score between 14 and 20, which we assumed to be a score of optimal neurological development. Subsequently, the same scoring system was applied in the group of 120 high-risk pregnancies in which, based on postnatal neurological findings, three subgroups of newborns were found: normal, mildly or moderately abnormal, and abnormal. Normal neonates had a prenatal score between 14 and 20, mildly or moderately abnormal neonates had a prenatal score of 5–13, whereas those infants who were assigned as neurologically abnormal had a prenatal score from 0–5.
Conclusion: A new scoring system for the assessment of neurological status for antenatal application is proposed, similar to the neonatal optimality test of Amiel-Tison. This preliminary work may help in detecting fetal brain and neurodevelopmental alterations due to in utero brain impairment.
©2008 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations
- Treatment and prevention of malaria in pregnancy and newborn
- Uterine activity: implications for the condition of the fetus
- Genes and the preeclampsia syndrome
- Correlation between ultrasound and autopsy findings after 2nd trimester terminations of pregnancy
- Illegal drug use, smoking and alcohol consumption in a low-risk Irish primigravid population
- New scoring system for fetal neurobehavior assessed by three- and four-dimensional sonography
- Fetal extremity kinetics quantified with Doppler ultrasonography
- Quantification of impulse experienced by neonates during inter- and intra-hospital transport measured by biophysical accelerometery
- Roster of Perinatal Societies
- Congress Calendar
