Naslov
New scoring system for fetal neurobehavior assessed by three- and four-dimensional sonography

Autori
Kurjak, Asim ; Mišković, Berivoj ; Stanojević, Milan ; Amiel-Tison, Claudine ; Ahmed, Badreldeen ; Azumendi, Guillermo ; Vasilj, Oliver ; Andonotopo, Wiku ; Turudić, Tanja ; Salihagić-Kadić, Aida

Izvornik
Journal of Perinatal Medicine (0300-5577) 36 (2008), 1; 73-81

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
cerebral function; fetal neurological assessment; four-dimensional ultrasound; prenatal neurobehavior; scoring system

Sažetak
To produce a new scoring system for fetal neurobehavior based on prenatal assessment by 3D/4D sonography. We identified severely brain damaged infants and those with optimal neurological findings and compared fetal with neonatal findings. RESULTS: The new scoring system was retrospectively applied in a group of 100 low-risk pregnancies. After delivery, postnatal neurological assessment was performed, and all neonates assessed as normal reached a score between 14 and 20, which we assumed to be a score of optimal neurological development. Subsequently, the same scoring system was applied in the group of 120 high-risk pregnancies in which, based on postnatal neurological findings, three subgroups of newborns were found: normal, mildly or moderately abnormal, and abnormal. Normal neonates had a prenatal score between 14 and 20, mildly or moderately abnormal neonates had a prenatal score of 5-13, whereas those infants who were assigned as neurologically abnormal had a prenatal score from 0-5. CONCLUSION: A new scoring system for the assessment of neurological status for antenatal application is proposed, similar to the neonatal optimality test of Amiel-Tison. This preliminary work may help in detecting fetal brain and neurodevelopmental alterations due to in utero brain impairment.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA