[Adaptational behavior and late prognosis in newborn infants following severe intrauterine hypoxia with fetal pH under 7.0].
The course of perinatal periods as well as the latest statomotor and psychomotor developments were examined in 30 children (gestational age: 38.8 +/- 2.2 weeks; weight: 3,118 g +/- 668 g) with umbilical blood pH below 7.0 for assessment of the risk of neuromotor and psycho-intellectual retardation in newborns who had undergone severe intra-uterine hypoxia. The following findings were established from the probands at ages between seven and 80 months: normal condition of 15 children, mild retardation with normal neurological status in eight children, medium retardation with emphasis on psychoneurotic symptoms in five children, and severe retardation with multiple symptoms in two children. The strongest informative potential in terms of long-range prognosis was established for the perinatal combination of low pH with neurological and respiratory findings. Good long-range prognosis was recorded even for children with a record of pH below 7.0, provided well-timed and adequate treatment for severe intra-uterine hypoxia and unimpaired adaptation following primary re-animation.
D000222:Adaptation, Physiological; D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000503:physiopathology*; D001724:Birth Weight; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D005312:Fetal Blood / Q000032:analysis*; D005311:Fetal Hypoxia / Q000097:blood*; D005865:Gestational Age; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D011247:Pregnancy; D011379:Prognosis
Anpassungsverhalten und Spätprognose von Neugeborenen nach schwerer intrauteriner Hypoxie mit fetalem pH unter 7,0.