liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Neurological adaptation of full-term newborn infants: Influence of intrauterine growth accleration, intrapartal asphyxia and different modes of delivery
Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Linköping University, Faculty of Health Sciences.
1991 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Grace Otamiri. 1991. Neurological adaptation of full-term newborn infants. Influence of intrauterine growth acceleration, intrapartal asphyxia and different modes of delivery.

The neurological adaptation was studied in full-term newborn infants of different categories. Mother-infant relationship, neurology and development at 6 months of age were also evaluated. Large-for-gestational age (LGA) infants showed fewer optimal neurological responses on the first day of life, as compared to appropriate-for-gestational age infants, used as controls. There were no neurological differences between prenatally and postnatally detected LOA infants. Infants with intrapartal asphyxia, born after emergency cesarean section (CS) were significantly more hypotone the first 2 days after delivery than infants born after elective CS. When compared with control infants, infants born after elective CS were more hypotone and showed less excitability (alertness) during the first 2 postnatal days and had reduced number of optimal responses during the first 5 days. No neurological differences were found between the CS infants delivered with general or epidural anaesthesia. The follow-up studies at 6 months of age showed no differences in either growth, neurology or development of the infants born after CS, vaginal breech and the controls. The catecholamine levels in cord blood were lower in elective CS infants as compared to vaginally delivered infants. A significant correlation was found between low levels of noradrenaline and poor muscle tonus and low grade of excitability on day 1.

Mothers in the elective CS group had significantly more doubts about their capacity to care for their babies at the maternity ward as compared to the controls. However, at 1 month after delivery the elective CS mothers significantly contributed more caretaking for their babies.

In conclusion, factors as the fetal size, intrapartal asphyxia and mode of delivery influence the neurological adaptation of full-term infants during the first days of life. The neurological dysfunction was transient and did not affect the health of the infants who all showed normal growth, neurology and psychomotor development at the 6-month follow-up.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet , 1991. , 38 p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 341
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-28156Local ID: 12970ISBN: 91-7870-632-7OAI: diva2:248707
Public defence
1991-11-08, Berzeliussalen, Universitetssjukhuset, Linköping, 09:00 (Swedish)
Papers, included in the Ph.D. thesis, are not registered and included in the posts from 1999 and backwards.Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-07-18Bibliographically approved

Open Access in DiVA

No full text

By organisation
PediatricsFaculty of Health Sciences
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 139 hits
ReferencesLink to record
Permanent link

Direct link