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Type: Journal article
Title: Cerebral palsy and the application of the international criteria for acute intrapartum hypoxia
Author: Strijbis, E.
Oudman, I.
van Essen, P.
MacLennan, A.
Citation: Obstetrics and Gynecology, 2006; 107(6):1357-1365
Publisher: Lippincott Williams & Wilkins
Issue Date: 2006
ISSN: 0029-7844
Statement of
Eva M. M. Strijbis, Inge Oudman, Phillipa van Essen and Alastair H. MacLennan
Abstract: <h4>Objective</h4>To apply objective criteria for the identification of acute intrapartum hypoxia in a cohort of cerebral palsy cases and to identify other cerebral palsy-related pathologies.<h4>Methods</h4>A cohort of all 235 neonates with cerebral palsy from a single Australian tertiary care center born between 1986 and 2003. Cases were identified from the South Australian Cerebral Palsy Register. Maternal and pediatric case notes were audited with application of the 2003 American College of Obstetricians and Gynecologists/American Academy of Pediatrics criteria to identify acute intrapartum hypoxia.<h4>Results</h4>Data were available for analysis in 213 cases (91%). Major antenatal or pediatric cerebral palsy-related pathologies were identified in 98.1% of all these cases. An isolated acute intrapartum hypoxic event was defined as likely in only 2 of the 46 neonates born at term and none born preterm. Neonatal nucleated red blood cell counts were often high in neonates born preterm and following antenatal pathologies.<h4>Conclusion</h4>Cerebral palsy was seldom preceded by acute intrapartum hypoxia but antenatal cerebral palsy-related pathologies are often detectable. The objective American College of Obstetricians and Gynecologists/American Academy of Pediatrics criteria are useful to audit cerebral palsy causation and exclude primary intrapartum hypoxia.<h4>Level of evidence</h4>II-3.
Keywords: Humans
Cerebral Palsy
Apgar Score
Cesarean Section
Gestational Age
South Australia
Fetal Hypoxia
Obstetric Labor Complications
Description: Copyright © 2006 by the American College of Obstetricians and Gynecologists.
DOI: 10.1097/01.AOG.0000220544.21316.80
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Appears in Collections:Aurora harvest 6
Cerebral Palsy Research Group publications
Obstetrics and Gynaecology publications

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