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ORIGINAL ARTICLE
Year : 2015  |  Volume : 1  |  Issue : 2  |  Page : 75-79

Perinatal risk factors in cerebral palsy: A rehab center based study


1 Department of Public Health, Sam Higginbottom Institute of Agriculture Technology and Sciences, Allahabad, Uttar Pradesh, India
2 Department of Pediatric Orthopedics, MLN Medical College, Allahabad, Uttar Pradesh, India
3 Department of Community Medicine, MLN Medical College, Allahabad, Uttar Pradesh, India
4 Department of Physiotherapy, Samvedna Trust, MLN Medical College, Allahabad, Uttar Pradesh, India

Correspondence Address:
Varidmala Jain
182C/350A Tagore Town Allahabad, Allahabad
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-4264.173433

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Introduction: The etiology of cerebral palsy (CP) is very diverse and multifactorial including prenatal, natal, and postnatal factors. Objective: This study is an attempt to describe the distribution of risk factors among children with cerebral palsy. Materials and Methods: This study was conducted to explore perinatal risk factors among 307 children having cerebral palsy. Results: Major risk factors found in this study were history of spontaneous abortions in 33 (10.7%), anemia during pregnancy in 53 (17.3%), hypertension in 26 (8.5%), and history of infection in 22 (6.2%) mothers. In total, 141 (45%) children were born preterm and 28 (9.1%) were born in multiple births. Further, it was also found that 12 (3.9%) deliveries were forceps delivery. Out of the total 307 respondents, 208 (67.8%) reported a history of delayed crying of their child at birth. Out of the available record of 278 children, 108 (38.8%) had birth weights of <1.5 kg. The most frequent risk factors in the postnatal period were high fever in 82 (26.7%), convulsion in 81 (26.4%), and jaundice in 99 (32.2%). Conclusions: In this study, factors related to poor antenatal care as well as other unavoidable risk factors were found; therefore, there is a need to prevent avoidable causes that lead to CP through strict standard practices, mass awareness programs, etc.


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