Pinnacle Medicine & Medical Sciences

(ISSN: 2360-9516)

July 2015, Vol. 2 (6).

© Author(s) 2015. This work is distributed under the Creative Commons Attribution 3.0 License.

Research Article

 

Early Evaluation Of Neuro-Psychomotor Development Of Children, 34 Weeks During The First Three Years Of Life In The Outpatient Premature Ward Of The Holy Para Mercy House Foundation ((FSCMPa) In Northern Region, Brazil

Raquel de Maria Maués SACRAMENTO1, Caio Bacellar CUNHA1, Aurimery Gomes CHERMONT3* 

Scholarship Scientific Initiation PIBIC / CNPQ,1
Faculty of Medicine,
Universidade Federal do Pará,
Brazil.

Associate Professor2
Faculty of Medicine,
Universidade Federal do Pará,
Brazil.

Accepted 6 July, 2015; Available Online 24 July, 2015.

Abstract:

The most dramatic events in the growth and development occur before birth, and receive influence of genetic factors, hormonal, environmental, placental, nutrition and maternal health, which can exert influence in varying degrees, providing benefits or harms the growth pattern and fetal development. Among the premature, a higher incidence of disorders related to immaturity of organs and systems, and more likely to change and / or deviations in their acquisitions and development. Thus, the objective of this research was to evaluate the neurological development of newborns premature infants less than 34 weeks during the first three years of life that attended the Clinic of Premature of the Holy Para Mercy House Foundation ((FSCMPa). Therefore, treated a observational study of a retrospective cohort type, performed at the Clinic of premature of the Holy Para Mercy House Foundation with 90 premature infants enrolled from June 2008 to June 2009 and are considered premature infants, all infants with gestational age less than 37 weeks. The areas analyzed by the Denver II Test, there was no significant correlation in the analysis only on personal social area (p = 0.1496). Test results among VLBW infants characteristics and the outcome of the Denver II test tended to be correlated with results changed in the first year of life, male, (p = 0.0009), gestational age 27-29 weeks, gestational age (p = 0.0022) and from 33 weeks (p = 0.0398), weighing less than 1500 g (p = 0.0001) and exclusive breastfeeding time (p = 0.0001). It was observed in this study with the Denver test, high proportion of children carries an increased risk of developmental delays, especially in children born with gestational age of 34 weeks, during which can be seen most organic immaturity. Among the evaluated, delays can be noted that the first year of life to change in the overall motor development prevailed, but from the second year delay in the area of language prevailed.

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