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, 19 (4), 185-9

Trends in the Prevalence of Cerebral Palsy Among Very Preterm Infants ( <31 Weeks' Gestational Age)

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Trends in the Prevalence of Cerebral Palsy Among Very Preterm Infants ( <31 Weeks' Gestational Age)

Michael J Vincer et al. Paediatr Child Health.

Abstract

Background: The birth prevalence of cerebral palsy varies over time among very preterm infants, and the reasons are poorly understood.

Objective: To describe the variation in the prevalence of cerebral palsy among very preterm infants over time, and to relate these differences to other maternal or neonatal factors.

Methods: A population-based cohort of very preterm infants was evaluated over a 20-year period (1988 to 2007) divided into four equal epochs.

Results: The prevalence of cerebral palsy peaked in the third epoch (1998 to 2002) while mortality rate peaked in the second epoch (1993 to 1997). Maternal anemia, tocolytic use and neonatal need for home oxygen were highest in the third epoch.

Conclusions: Lower mortality rates did not correlate well with the prevalence of cerebral palsy. Maternal risk factors, anemia and tocolytic use, and the newborn need for home oxygen were highest during the same epoch as the peak prevalence of cerebral palsy.

Keywords: Cerebral palsy; Infant; Population-based; Premature.

Figures

Figure 1)
Figure 1)
Flow of patients in the study. *Two children died during the 12- to 42-month window but were believed to be free from cerebral palsy before the window; One child was not examined during the 12- to 42-month window but was subsequently examined at 51 months of age and was free from cerebral palsy

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