Neurological growth and development of children asymptomatic at birth whose mothers had Zika during pregnancy

Rev Soc Bras Med Trop. 2021 Feb 10:54:e01802020. doi: 10.1590/0037-8682-0180-2020. eCollection 2021.

Abstract

Introduction: Newborn who had Zika vírus but did not show microcephaly at birth may have neuropsychomotor development problems. We aimed to evaluate the developmental and anthropometric milestones of asymptomatic children whose mothers had Zika during pregnancy in Northeastern Brazil in 2015 and 2016.

Methods: We conducted a descriptive cross-sectional case series study of children in Fortaleza born without microcephaly whose mothers had Zika during pregnancy. Home visits were undertaken to evaluate the developmental milestones and gather anthropometric data of the children and to conduct semi-structured interviews with the mothers to identify their socioeconomic and gestational profiles and assess the newborns after birth.

Results: In total, 30 cases were identified. Of these, 17 children and their mothers participated in the study. The median age of the mothers at the time of delivery was 26 years. All were symptomatic, and TORCH was negative. At the time of the home visit, all had growth profiles suitable for their age. However, nearly all children (15/17, 88.2%) presented at least one developmental delay, considering their age group.

Conclusions: There were late changes in the neuropsychomotor development of children born to mothers who had Zika during pregnancy, suggesting the need for specialized medical follow-ups.

MeSH terms

  • Adult
  • Brazil
  • Child
  • Cross-Sectional Studies
  • Female
  • Growth and Development
  • Humans
  • Infant
  • Infant, Newborn
  • Microcephaly*
  • Mothers
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • Zika Virus Infection* / diagnosis
  • Zika Virus*