Volume 67, Issue 6 (9-2009)                   Tehran Univ Med J 2009, 67(6): 435-442 | Back to browse issues page

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Soleimani F, Sourtiji H. Evaluation of perinatal and neonatal risk factors of children with cerebral palsy referred from health– care centers in north and east of Tehran. Tehran Univ Med J. 2009; 67 (6) :435-442
URL: http://tumj.tums.ac.ir/article-1-5579-en.html
1- Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences , Farinir@yahoo.com
2- Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences
Abstract:   (4913 Views)
Background: Cerebral palsy (CP) is a group of nonprogressive motor impairment syndromes with potentially different risk factors and causal pathways which is caused by damage in the very young brain. The etiology of CP is mostly unknown and the prevalence has not decreased in comparison to past decades, although many advances have occurred in obstetric and neonatal care. In fact, it seems that the prevalence might have even increased in term infants. The aim of this study was the evaluation of cerebral palsy risk factors in Iran to compare them with other countries.
Methods: In this case-control study, all one to six years old children who were referred to a rehabilitation center from Shahid Beheshti child-health-care centers during the years 2007–2008, with documented cerebral palsy for evaluation of perinatal and neonatal risk factors were enrolled in the study, with matched controls.
Results: 112 in the case and 113 in the control group were studied. The main factors associated with CP, were: preterm delivery, neonatal and postnatal seizures, Apgar score of zero to three at twentieth minute after birth, low birth weight, and multiple gestations. The majority of infants with CP were born at term and only 37.8% before 37 weeks.
Conclusions: Preterm birth, hypoxic-ischemic encephalopathy and low birth weight were the independent predictors of CP in this population.
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