Fatores de risco perinatais e avaliação neuropsicomotora em crianças pré-termo com e sem hemorragia peri-intraventricular

Maria Júlia Parcias do Rosário; Cláudia Maria de Lorenzo; Anelise Sonza; Silvia Rosane Parcias

doi:10.5585/conssaude.v18n1.10896

Authors

Maria Júlia Parcias do Rosário Residência Médica Hospital de Clínicas de Porto Alegre, Porto Alegre, RS https://orcid.org/0000-0002-1655-9082
Cláudia Maria de Lorenzo Hospital Infantil Joana de Gusmão, Florianópolis, SC https://orcid.org/0000-0001-7554-289X
Anelise Sonza Departamento de Fisioterapia, Centro de Ciências da Saúde e do Esporte - CEFID, Universidade do Estado de Santa Catarina – UDESC, Florianópolis, SC https://orcid.org/0000-0003-0056-4984
Silvia Rosane Parcias Departamento de Ciências Biológicas, Centro de Ciências da Saúde e do Esporte - CEFID, Universidade do Estado de Santa Catarina – UDESC, Florianópolis, SC https://orcid.org/0000-0003-2030-2607

DOI:

https://doi.org/10.5585/conssaude.v18n1.10896

Keywords:

Risk factors. Infant, Premature. Child development.

Abstract

Introduction: Peri-intraventricular hemorrhage (PIVH) is multifactorial and may cause disturbances in the child’s neuropsychomotor development (NPMD). Objective: To analyze perinatal risk factors and NPMD of high-risk preterm infants with and without PIVH. Method: Observational case-control study, a clinical cohort was conducted in a follow-up outpatient clinic of high risk newborns. High risk preterm infants with and without PIVH were accessed. Questionnaires and the Denver II test were used. Bivariate analysis through Fischer test and multivariate logistic regression was performed (p ≤0.05). Results: 47 high risk preterm infants were evaluated, 14 with and 33 without PIVH history. Gestational age (OR = 16.5, p <0.001), birth weight (OR = 9.23, p <0.01) and neonatal practices (OR = 6.68, p <0.01) are related to the HPIV. There was no association between NPMD and HPIV for this sample. Conclusions: Low gestational age, low birth weight and neonatal practices are associated with PIVH. No association between HPIV and NPMD was found in preterm infants.

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Author Biography

Anelise Sonza, Departamento de Fisioterapia, Centro de Ciências da Saúde e do Esporte - CEFID, Universidade do Estado de Santa Catarina – UDESC, Florianópolis, SC

Departamento de Fisioterapia

Área de atuação: Pediatria

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