Motor performance evaluation of newborns with gastroschisis after surgical correction
Keywords:gastroschisis, psychomotor performance, , risk factor, neonatal intensive care
Introduction: Gastroschisis is a congenital malformation that has risk factors for delayed neuropsychomotor development. That is why it is important to recognize early developmental changes in these newborns during hospitalization in the Neonatal Intensive Care Unit.
Objective: To evaluate the motor performance of newborns with gastroschisis after surgical correction.
Methods: An observational and retrospective study was carried out with newborns with gastroschisis, assessed by the Test of Infant Motor Performance at the Neonatal Intensive Care Center 2 of the Instituto da Criança e do Adolescente. The test allows the classification of the risk for developmental delay in 4 categories: within the average for age, low average, below average, and well below average. Maternal, neonatal, surgical, and motor assessment data were collected through electronic medical records.
Results: Motor assessment was performed on 17 newborns, where 88.23% were classified as “below average” for age. The mean maternal age was 20 years, and the average gestational age and birth weight were 36.38 weeks and 2343.9 grams, respectively, with the majority being female. Simple gastroschisis accounted for 64.71%, and primary closure was possible in 82.35%. The average hospital stay of 53.24 days, and sepsis was the most frequent complication (64.71%).
Conclusion: Newborns with gastroschisis remain hospitalized for a long time and are susceptible to complications. It was possible to identify the delay in the development of these newborns early during hospitalization, which allows intervention by physiotherapy before the delay worsens.
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Copyright (c) 2021 Gislaine Aparecida de Oliveira Mota, Glaucia Yuri Shimizu, Ana Lucia Capelari Lahoz, Carla Marques Nicolau, Lucia Cândida Soares de Paula, Maristela Trevisan Cunha, Clarice Tanaka
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