BACKGROUND: Few neurological assessments are easily performed during the first 6h after birth. AIMS: To assess a cohort of low risk term born newborns within the first 6h and at 48h after birth using the Hammersmith Neonatal Neurological Examination. STUDY DESIGN AND SUBJECTS: A population of low risk term born newborns was examined within 3h from birth or between 3 and 6h. Each infant was re-assessed at 48h, establishing the range and frequency distribution of neonatal neurological scores at each time point. RESULTS: Of the 124 full-term born newborns, 62 were assessed at 0-3h and 62 at 3-6h. All infants were re-assessed at 48h. For 23/34 of the neurological items, the range and median scores were similar across the 3 time points. In the remaining 11 items the three groups had a similar range of scores but the median scores were different with different rates of changes. In 6 of the 11 the median scores at 3-6h were similar to those observed at 48h but they appeared to be 'less mature' at 0-3h. Only in one item the median scores were consistently different at the 3 time points. CONCLUSIONS: Our results suggest that a neurological examination can already be reliably performed soon after birth. These findings will help in the interpretation of the few items that show changes with increasing postnatal age.

Romeo, D., Bompard, S., Cocca, C., Serrao, F., De Carolis, M. P., Zuppa, A., Ricci, D., Gallini, F., Maddaloni, C., Romagnoli, C., Mercuri, E., Neonatal neurological examination during the first 6h after birth, <<EARLY HUMAN DEVELOPMENT>>, 2017; (108): 41-44. [doi:10.1016/j.earlhumdev.2017.03.013] [http://hdl.handle.net/10807/151872]

Neonatal neurological examination during the first 6h after birth

Romeo, D;Bompard, S;Serrao, F;De Carolis, Maria Pia;Gallini, F;Romagnoli, C;Mercuri, E.
2017

Abstract

BACKGROUND: Few neurological assessments are easily performed during the first 6h after birth. AIMS: To assess a cohort of low risk term born newborns within the first 6h and at 48h after birth using the Hammersmith Neonatal Neurological Examination. STUDY DESIGN AND SUBJECTS: A population of low risk term born newborns was examined within 3h from birth or between 3 and 6h. Each infant was re-assessed at 48h, establishing the range and frequency distribution of neonatal neurological scores at each time point. RESULTS: Of the 124 full-term born newborns, 62 were assessed at 0-3h and 62 at 3-6h. All infants were re-assessed at 48h. For 23/34 of the neurological items, the range and median scores were similar across the 3 time points. In the remaining 11 items the three groups had a similar range of scores but the median scores were different with different rates of changes. In 6 of the 11 the median scores at 3-6h were similar to those observed at 48h but they appeared to be 'less mature' at 0-3h. Only in one item the median scores were consistently different at the 3 time points. CONCLUSIONS: Our results suggest that a neurological examination can already be reliably performed soon after birth. These findings will help in the interpretation of the few items that show changes with increasing postnatal age.
Inglese
Romeo, D., Bompard, S., Cocca, C., Serrao, F., De Carolis, M. P., Zuppa, A., Ricci, D., Gallini, F., Maddaloni, C., Romagnoli, C., Mercuri, E., Neonatal neurological examination during the first 6h after birth, <<EARLY HUMAN DEVELOPMENT>>, 2017; (108): 41-44. [doi:10.1016/j.earlhumdev.2017.03.013] [http://hdl.handle.net/10807/151872]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/151872
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