IJSR - International Journal of Scientific Research

DR.ANISH CHATTERJEE; DR NENAVATH JEEVAN NAIK; DR. DEBARSHI JANA

Volume : VIII, Issue : VIII, August - 2019

NEURODEVELOPMENTAL OUTCOME UPTO 1 YEAR OF AGE AMONG TERM ASPHYXIATED BABIES

Dr. Anish Chatterjee, Dr Nenavath Jeevan Naik, Dr. Debarshi Jana

Abstract :

Worldwide, perinatal asphyxia is a major cause of death and of acquired ain damage in newborn infants. The prognosis depends on the severity of the asphyxia. Perinatal asphyxia and resulting HIE is one of the most common identifiable causes of CP and poor neurologic outcome in full–term newborns. This highlights the paramount importance of a well–designed follow–upprogramme to monitor the general health and neurodevelopmental outcome. This study was conducted to evaluate the term asphyxiated infants for long–term morbidities like developmental delays, visual and heå impairments and other ongoing illness. 107 term asphyxiated neonates were evaluated by serial neurological examination for the neurodevelopmental outcome. The stage of encephalopathy was assessed by using Sarnat and Sarnat clinical staging. DDST II scale was used for the developmental assessment and was followed up to 12 months to assess the neurodevelopmental outcome. The developmental delays at 12 months of age confound by DASII scale. At the end of 3 months of age in gross motor domain 28 infants, in fine domain17 infants, in language and social 10 infants were affected. At end of 6 months of age in gross motor domain 16 infants, in fine domain13 infants, in language and social 8 infants were affected were affected. At end of 9 months of age in gross motor domain 19 infants, in fine domain18 infants, in language 11 infants,and in social 17 infants were affected. At end of 12 months of age in gross motor domain 17 infants, in fine domain13 infants, in language 11 infants,and in social 13 infants were affected. Overall HIE III study subjects have the worst neurological outcome with a greater incidence of delays seen in gross motor, fine motor, personal and language domains. Irrespective of HIE staging gross motor domain was affected more than the other developmental domains. The social domain was the least affected of all developmental domain. The results of the developmental delay were comparable to many of the previous studies except the heå abnormalities as evident by the BERA results. Further, follow up studies could be helpful to substantiate the results achieved in our study.