[Neurological newborn in our center and follow-up].
BACKGROUND
The progress made in perinatal health care in recent years has changed the epidemiology of neurological diseases during the neonatal period. The reduction in neonatal mortality has been accompanied by an increasingly large number of patients suffering from disabling diseases or with a risk of suffering from them; a prolonged follow-up and the joint efforts of neonatologists and neuropaediatricians are therefore essential.


METHODS
We review the welfare work and demand for health care for newborn infants with neurological disorders in our service, as well as perinatal neurological morbidity, the functioning of the follow-up outpatients department, and we also report some of the findings from our experience in following up high-risk newborn infants.


CONCLUSIONS
The demand for neonatal health care is increasing, and it is important to take this into account so as to be able to plan better strategies for the use of health care resources and for caring for patients. In our population, preterm delivery and asphyxia are the chief perinatal factors leaving neurological sequelae, with an overall incidence that is similar to that reported in other research and a high proportion of severe sequelae. The follow-up programmes must be made cost-effective by better selection of the high risk population to be monitored and coordination with primary care paediatricians. Early detection of the deficits is essential to be able to implement early intervention, and this can be aided by a series of recommendations aimed at professionals and relatives, as well as by improved coordination between the different multidisciplinary groups involved in prevention and care programmes.
Rebage
V
V
Unidad Neonatal, Hospital Infantil Universitario Miguel Servet, Zaragoza, España. victorrebage@yahoo.es
Ruiz-Escusol
S
S
Fernández-Vallejo
M
M
Montejo-Gañán
I
I
García-Iñiguez
J P
JP
Galve-Pradel
Z
Z
Marco-Tello
A
A
Peña-Segura
J L
JL
López-Pisón
J
J