Hypotonic Cerebral Palsy
The purpose - to analyze trends in stillbirth, neonatal mortality and Hypotonic Cerebral Palsy in all infants born in Western Australia from 1967 to 1985. These trends and changes in perinatal care, in particular with regard to intrapartum asphyxia to avoid full-term infants and to improve the survival of low birth weight children. - Descriptive epidemiological study population rate of perinatal mortality and cerebral palsy, according to the year of birth and low birth weight. Setting - Western Australia. The main - all babies born after the 2 0 weeks of pregnancy and weight of less than 4 00 grams (live and still births). MAIN OUTCOME MEASURES - stillbirth, neonatal mortality (from the perinatal death certificate), and cerebral palsy (the registration of the population). The results - In general, interest rates fell 1 2.1/1000 of the total number of deaths from 1967 to 1970 was born in 8.1 in 1 983-5. Early neonatal mortality rate dropped to 13.0/1000 live births to 4.4 in the same period, total cerebral palsy rate has remained at about 2-2.5/1000 live births. Mortality rate dropped by all categories of birth weight, especially in low-birth-weight children in 1975 and 1985 during the birth. On the other hand, the number of children with cerebral palsy 1.5 thousand grams a significant increase during this period (from 12.1 in 1968 to 64.9 in 1985). Growth occurred mainly spasmodic in all categories, including heavy-duty reproduction and children with disabilities. The results of the investigation - a significant increase in the use of interventions aimed at reducing birth asphyxia and non-disabled (1985) led to a decline in the rate of cerebral palsy. This shows that birth asphyxia is not the main reason. Enlarge the survival of children born with cerebral palsy lead to even lower in this group because of premature or pre-or post-natal complications of brain damage fruit. These findings influence the planning of perinatal care and obstetric negligence lawsuit alleged cases of cerebral palsy.
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