[Diagnosis and outcome of cerebral distress in newborn infants who presented signs of fetal hypoxia. Prospective study].
The prospective study covered 60 full-term newborns, who presented exclusively signs of acute fetal distress. It had two major aims: --the analysis of the clinical and EEG symptomatologies, allowing the assessment of the cerebral damage in the neonatal period; --the evaluation as to whether the post-asphyxia cerebral damage may remain undiagnosed in the neonatal period, sequellae revealing it secondarily. Clinical and EEG supervision was undertaken during the first week; it was continued till 3 years of age in 45 of the 56 survivors. During the first week of life, 50 infants had at least once, an abnormal neurologic manifestation. The signs for a poor outcome are "unexpected" fetal distress, Apgar score below 2 at 1 min., seizures occurring or persisting after 48 hours, severe clinical and/or EEG changes occurring more than once. Prognosis is considered as favorable if EEG or clinical examination are consistently normal, or if EEG and clinical examination are normalized at 6 days of life.
D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000150:complications*; D001925:Brain Damage, Chronic / Q000151:congenital*; D002657:Child Development; D002675:Child, Preschool; D004569:Electroencephalography; D005260:Female; D005311:Fetal Hypoxia / Q000150:complications*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008607:Intellectual Disability / Q000209:etiology*; D008297:Male; D009048:Motor Skills; D009460:Neurologic Examination; D011247:Pregnancy; D011446:Prospective Studies
Diagnostic et evolution de la souffrance cerebrale chez les nouveau-nes ayant presente des signes d'hypoxie foetale. Etude prospective.