Adverse obstetric events are associated with significant risk of cerebral palsy
Objective To examine adverse birth events on the development of cerebral palsy in California. Study Design A retrospective population-based study of children with cerebral palsy (as of Nov. 30, 2006), matched to their maternal/infant delivery records (Jan. 1, 1991 to Dec. 31, 2001) was performed. De...
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container_title | American journal of obstetrics and gynecology |
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creator | Gilbert, William M., MD Jacoby, Bryon N., MD, SM Xing, Guibo, PhD Danielsen, Beate, PhD Smith, Lloyd H., MD, PhD |
description | Objective To examine adverse birth events on the development of cerebral palsy in California. Study Design A retrospective population-based study of children with cerebral palsy (as of Nov. 30, 2006), matched to their maternal/infant delivery records (Jan. 1, 1991 to Dec. 31, 2001) was performed. Demographic data and intrapartum events were examined. Six adverse birth-related events were chosen. Children without cerebral palsy were controls. Results There were 7242 children who had cerebral palsy (59% term) and 31.3% had 1 or more of the 6 adverse intrapartum events (12.9% in controls P < .0001). This held for both term (28.3% vs 12.7% controls) and preterm (36.8% vs 15.9%, controls) neonates (both P < .0001). Maternal (15.1% vs 6.6%) and neonatal (0.9% vs 0.1%) infection were increased in cerebral palsy cases ( P < .0001). Conclusion Almost one-third of children with cerebral palsy had at least 1 adverse birth-related event. Higher rates in the preterm group may partially explain the higher rates of cerebral palsy in this group. |
doi_str_mv | 10.1016/j.ajog.2010.05.013 |
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Study Design A retrospective population-based study of children with cerebral palsy (as of Nov. 30, 2006), matched to their maternal/infant delivery records (Jan. 1, 1991 to Dec. 31, 2001) was performed. Demographic data and intrapartum events were examined. Six adverse birth-related events were chosen. Children without cerebral palsy were controls. Results There were 7242 children who had cerebral palsy (59% term) and 31.3% had 1 or more of the 6 adverse intrapartum events (12.9% in controls P < .0001). This held for both term (28.3% vs 12.7% controls) and preterm (36.8% vs 15.9%, controls) neonates (both P < .0001). Maternal (15.1% vs 6.6%) and neonatal (0.9% vs 0.1%) infection were increased in cerebral palsy cases ( P < .0001). Conclusion Almost one-third of children with cerebral palsy had at least 1 adverse birth-related event. Higher rates in the preterm group may partially explain the higher rates of cerebral palsy in this group.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2010.05.013</identifier><identifier>PMID: 20598283</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Abruptio Placentae - epidemiology ; Adult ; Biological and medical sciences ; birth asphyxia ; Birth Injuries - epidemiology ; California - epidemiology ; Case-Control Studies ; cerebral palsy ; Cerebral Palsy - epidemiology ; Delivery. Postpartum. Lactation ; Female ; Fetal Distress - epidemiology ; Gynecology. Andrology. Obstetrics ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Hypoxia-Ischemia, Brain - epidemiology ; Infant, Newborn ; Maternal Age ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Obstetrics and Gynecology ; Parity ; Pregnancy ; Pregnancy, Multiple ; Premature Birth - epidemiology ; Prolapse ; Retrospective Studies ; Umbilical Cord ; uterine rupture ; Uterine Rupture - epidemiology</subject><ispartof>American journal of obstetrics and gynecology, 2010-10, Vol.203 (4), p.328.e1-328.e5</ispartof><rights>Mosby, Inc.</rights><rights>2010 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-e9089b1213fd452c7c38ce4c8ade00cf83224a3371b5a0eaf3a799c386466a9d3</citedby><cites>FETCH-LOGICAL-c484t-e9089b1213fd452c7c38ce4c8ade00cf83224a3371b5a0eaf3a799c386466a9d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2010.05.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23327974$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20598283$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gilbert, William M., MD</creatorcontrib><creatorcontrib>Jacoby, Bryon N., MD, SM</creatorcontrib><creatorcontrib>Xing, Guibo, PhD</creatorcontrib><creatorcontrib>Danielsen, Beate, PhD</creatorcontrib><creatorcontrib>Smith, Lloyd H., MD, PhD</creatorcontrib><title>Adverse obstetric events are associated with significant risk of cerebral palsy</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective To examine adverse birth events on the development of cerebral palsy in California. Study Design A retrospective population-based study of children with cerebral palsy (as of Nov. 30, 2006), matched to their maternal/infant delivery records (Jan. 1, 1991 to Dec. 31, 2001) was performed. Demographic data and intrapartum events were examined. Six adverse birth-related events were chosen. Children without cerebral palsy were controls. Results There were 7242 children who had cerebral palsy (59% term) and 31.3% had 1 or more of the 6 adverse intrapartum events (12.9% in controls P < .0001). This held for both term (28.3% vs 12.7% controls) and preterm (36.8% vs 15.9%, controls) neonates (both P < .0001). Maternal (15.1% vs 6.6%) and neonatal (0.9% vs 0.1%) infection were increased in cerebral palsy cases ( P < .0001). Conclusion Almost one-third of children with cerebral palsy had at least 1 adverse birth-related event. Higher rates in the preterm group may partially explain the higher rates of cerebral palsy in this group.</description><subject>Abruptio Placentae - epidemiology</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>birth asphyxia</subject><subject>Birth Injuries - epidemiology</subject><subject>California - epidemiology</subject><subject>Case-Control Studies</subject><subject>cerebral palsy</subject><subject>Cerebral Palsy - epidemiology</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Fetal Distress - epidemiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Hypoxia-Ischemia, Brain - epidemiology</subject><subject>Infant, Newborn</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Obstetrics and Gynecology</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Pregnancy, Multiple</subject><subject>Premature Birth - epidemiology</subject><subject>Prolapse</subject><subject>Retrospective Studies</subject><subject>Umbilical Cord</subject><subject>uterine rupture</subject><subject>Uterine Rupture - epidemiology</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1rFDEUhoModq3-AS8kN-LVrPmYmSQgQil-QaEXreBdyGTO1ExnJ2tOdmX_vRl2VehFr04SnvcQnpeQ15ytOePt-3Htxni3Fqw8sGbNuHxCVpwZVbW61U_JijEmKiOVPiMvEMflKox4Ts4Ea4wWWq7I9UW_h4RAY4cZcgqewh7mjNQloA4x-uAy9PR3yD8phrs5DMG7OdMU8J7GgXpI0CU30a2b8PCSPBvKhFeneU6-f_50e_m1urr-8u3y4qryta5zBYZp03HB5dDXjfDKS-2h9tr1wJgftBSidlIq3jWOgRukU8YUqK3b1plenpN3x73bFH_tALPdBPQwTW6GuEOrmsYoLpQopDiSPkXEBIPdprBx6WA5s4tHO9rFo108WtbY4rGE3pzW77oN9P8if8UV4O0JcOjdNCQ3-4D_OSmFMqou3IcjB0XGPkCy6APMHvqQwGfbx_D4Pz4-iPspzKWA6R4OgGPcpblottyisMzeLBUvhfNyaLT4If8AWfCl7w</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Gilbert, William M., MD</creator><creator>Jacoby, Bryon N., MD, SM</creator><creator>Xing, Guibo, PhD</creator><creator>Danielsen, Beate, PhD</creator><creator>Smith, Lloyd H., MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>Adverse obstetric events are associated with significant risk of cerebral palsy</title><author>Gilbert, William M., MD ; Jacoby, Bryon N., MD, SM ; Xing, Guibo, PhD ; Danielsen, Beate, PhD ; Smith, Lloyd H., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-e9089b1213fd452c7c38ce4c8ade00cf83224a3371b5a0eaf3a799c386466a9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abruptio Placentae - epidemiology</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>birth asphyxia</topic><topic>Birth Injuries - epidemiology</topic><topic>California - epidemiology</topic><topic>Case-Control Studies</topic><topic>cerebral palsy</topic><topic>Cerebral Palsy - epidemiology</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>Fetal Distress - epidemiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Hypoxia-Ischemia, Brain - epidemiology</topic><topic>Infant, Newborn</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Obstetrics and Gynecology</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Pregnancy, Multiple</topic><topic>Premature Birth - epidemiology</topic><topic>Prolapse</topic><topic>Retrospective Studies</topic><topic>Umbilical Cord</topic><topic>uterine rupture</topic><topic>Uterine Rupture - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gilbert, William M., MD</creatorcontrib><creatorcontrib>Jacoby, Bryon N., MD, SM</creatorcontrib><creatorcontrib>Xing, Guibo, PhD</creatorcontrib><creatorcontrib>Danielsen, Beate, PhD</creatorcontrib><creatorcontrib>Smith, Lloyd H., MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gilbert, William M., MD</au><au>Jacoby, Bryon N., MD, SM</au><au>Xing, Guibo, PhD</au><au>Danielsen, Beate, PhD</au><au>Smith, Lloyd H., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse obstetric events are associated with significant risk of cerebral palsy</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>203</volume><issue>4</issue><spage>328.e1</spage><epage>328.e5</epage><pages>328.e1-328.e5</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective To examine adverse birth events on the development of cerebral palsy in California. Study Design A retrospective population-based study of children with cerebral palsy (as of Nov. 30, 2006), matched to their maternal/infant delivery records (Jan. 1, 1991 to Dec. 31, 2001) was performed. Demographic data and intrapartum events were examined. Six adverse birth-related events were chosen. Children without cerebral palsy were controls. Results There were 7242 children who had cerebral palsy (59% term) and 31.3% had 1 or more of the 6 adverse intrapartum events (12.9% in controls P < .0001). This held for both term (28.3% vs 12.7% controls) and preterm (36.8% vs 15.9%, controls) neonates (both P < .0001). Maternal (15.1% vs 6.6%) and neonatal (0.9% vs 0.1%) infection were increased in cerebral palsy cases ( P < .0001). Conclusion Almost one-third of children with cerebral palsy had at least 1 adverse birth-related event. Higher rates in the preterm group may partially explain the higher rates of cerebral palsy in this group.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>20598283</pmid><doi>10.1016/j.ajog.2010.05.013</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Abruptio Placentae - epidemiology Adult Biological and medical sciences birth asphyxia Birth Injuries - epidemiology California - epidemiology Case-Control Studies cerebral palsy Cerebral Palsy - epidemiology Delivery. Postpartum. Lactation Female Fetal Distress - epidemiology Gynecology. Andrology. Obstetrics Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Hypoxia-Ischemia, Brain - epidemiology Infant, Newborn Maternal Age Medical sciences Nervous system (semeiology, syndromes) Neurology Obstetrics and Gynecology Parity Pregnancy Pregnancy, Multiple Premature Birth - epidemiology Prolapse Retrospective Studies Umbilical Cord uterine rupture Uterine Rupture - epidemiology |
title | Adverse obstetric events are associated with significant risk of cerebral palsy |
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