Author/Editor     Kornhauser-Cerar, Lilijana; Stojanović, Erika; Stirn-Kranjc, Branka; Globevnik-Velikonja, Vislava
Title     Spemljanje razvoja pri otrocih rojenih z nizko porodno težo
Translated title     Developmental outcome in low-birth-weight infants
Type     članek
Source     In: Novak-Antolič Ž, editor. Prezgodnji porod in nedonošenček. Zbornik prispevkov 8. Novakovi dnevi z mednarodno udeležbo; 2001 maj 31-jun 2; Maribor. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year     2001
Volume     str. 29-37
Language     slo
Abstract     Background. Contemporary reductions in neonatal mortality are steadily increasing the prevalence of highly vulnerable children in the overall population. As early identification of adverse neurological outcome and timely interventions may reduce the severity of permanent damage, organized careful and continuous neurodevelopmental followup of low-birth-weight infants and/or of survivors of neonatal intensive care, is mandatory. The goals, objectives, personnel, and resources of follow-up programs are combined individually to determine the proportion and nature of at-risk survivors to be served. Conclusions. The major neurosensory impairments associated with prematurity are cerebral palsy (its prevalence in very-low-birth-weight infants varies between 6% and 10%), mental retardation, hearing and visual impairments, and progressive hydrocefalus. The signs of these conditions are usually clinically apparent by two years of age and vary in severity from mild to profound. Minor development and behavioral abnormalities (know as minimal cerebral dysfunction) are substantially more prevalent in surviving preterm infants than major impairments and become increasingly apparent in a variety of clinical manifestations with age, particularly in pre-school and school age (prevalence in children with birth weight <1500g varies between 15 and 25%). They are frequently associated with school dysfunction and may therefore become major impediments to normal academic and social progress.
Descriptors     INFANT, PREMATURE
INFANT, LOW BIRTH WEIGHT
CHILD DEVELOPMENT
INTENSIVE CARE UNITS, PEDIATRIC
INFANT, NEWBORN
CHILD
BRONCHOPULMONARY DYSPLASIA
CEREBRAL HEMORRHAGE
SPASMS, INFANTILE
FOLLOW-UP STUDIES
CEREBRAL PALSY
HYDROCEPHALUS