Perinatal risk factors and neuropsychomotor evaluation in preterm infants, with and without peri intraventricular hemorrhage
DOI:
https://doi.org/10.5585/conssaude.v18n1.10896Keywords:
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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