Physical features and neurodevelopmental outcome in high risk newborn

ORIGINAL ARTICLE

PHYSICAL FEATURES AND NEURODEVELOPMENTAL OUTCOME IN HIGH RISK NEWBORN

Mohit Mittal, Bhavana Lakhkar.

Department of Pediatrics, Jawahar lal Medical College, Sawangi, Wardha, Maharashtra, India.

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Abstract
Objectives: We hypothesized that high risk babies having physical features described by Amiel Tison have poor neurological outcome as compare to babies with no such features. The objective of the study was to find the proportion of high risk babies with abnormal physical features and to compare their outcome with high risk babies without such features.

Methods and Materials: Two hundred and twenty one high risk babies were studied from birth to 1 year of life. Babies were called weekly till 6 weeks after that they come at 10 week, 14 weeks and then once a month. Every week, growth assessment, development assessment and neurological examination was done. Development was assessed using Denver development screening test.

Results: Ninety six (43.5%) of high risk babies had physical features described by Amiel Tison. Developmental delay, neurodeficit, vision problem and multiple problems were significantly more in these babies. This observation is also noticed in preterm and small for gestational age babies.

Conclusion: Presence of Physical features described by Amiel Tison predicts poor neurodevelopmental outcome at 1 year of age.

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