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[Adaptational behavior and late prognosis in newborn infants following severe intrauterine hypoxia with fetal pH under 7.0].

Authors
  • Vogtmann, C
  • Lietz, R
  • Böttcher, H
  • Viehweg, B
  • Ruckhäberle, K E
Type
Published Article
Journal
Zentralblatt für Gynäkologie
Publication Date
Jan 01, 1982
Volume
104
Issue
20
Pages
1288–1297
Identifiers
PMID: 7158149
Source
Medline
License
Unknown

Abstract

The course of perinatal periods as well as the latest statomotor and psychomotor developments were examined in 30 children (gestational age: 38.8 +/- 2.2 weeks; weight: 3,118 g +/- 668 g) with umbilical blood pH below 7.0 for assessment of the risk of neuromotor and psycho-intellectual retardation in newborns who had undergone severe intra-uterine hypoxia. The following findings were established from the probands at ages between seven and 80 months: normal condition of 15 children, mild retardation with normal neurological status in eight children, medium retardation with emphasis on psychoneurotic symptoms in five children, and severe retardation with multiple symptoms in two children. The strongest informative potential in terms of long-range prognosis was established for the perinatal combination of low pH with neurological and respiratory findings. Good long-range prognosis was recorded even for children with a record of pH below 7.0, provided well-timed and adequate treatment for severe intra-uterine hypoxia and unimpaired adaptation following primary re-animation.

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