Author/Editor		Kavčič, Anamarija
Title		Motnje gibanja pri otrocih s porodno težo pod 5. centilom za gestacijsko starost - etiološki vidiki
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		2003
Volume		str. 97
Language		slo
Abstract		Objective - To test the hypothesis, that in intrauterine growth retardation there are special conditions in the development of the central nervous system that either guarantee or prevent a normal motor developmental outcome, the motor performance of children who were small for gestational age at birth was assessed. Methods - A retrospective study was undertaken of children without any genetic disorder who were born in Slovenia between 1994 and 1998 with a birth weight below the 5th percentile for gestational age. All children with cerebral palsy were included. Children without any neurological diagnosis were chosen at random from several children's primary care health clinics. Data obtained from neurodevelopmental examination in 2000 or 2001 and from examination of all (including antenatal and perinatal) medical records were statistically analysed. Special attention was paid to differences between the groups of children with obviously normal and obviously abnormal motor development. Results - Of the 190 children examined (104 boys, 86 girls, mean age 4.4 years), 74 children (3 8.9%) had a normal developmental neurological examination (group I), while 34 (17.9%) showed definite cerebral dysfunction (group II) due to cerebral palsy (n = 15), a developmental coordination disorder (n = 11), or a behavioural motor disorder (n = 8). The neurodevelopmental outcome of 82 children (43,2%) is still uncertain; hence they have not yet been assigned to either of the two groups. Comparing groups I and II, a significant difference was found in 8 factors: maternal smoking, time from rupture of the membranes to labour, maternal injury during labour, gestational age, Apgar scores, breast feeding, feeding disorders in the 1st year of life and the number of risk factors associated with intrauterine growth retardation. (Abstract truncated at 2000 characters).
Descriptors		DEVELOPMENTAL DISABILITIES FETAL GROWTH RETARDATION GESTATIONAL AGE INFANT, SMALL FOR GESTATIONAL AGE MOVEMENT DISORDERS CHILD CEREBRAL PALSY BODY WEIGHT BODY HEIGHT CEPHALOMETRY NEUROLOGIC EXAMINATION RETROSPECTIVE STUDIES