RESEARCH PAPER
Knowledge of factors predisposing to the occurrence of cerebral palsy among pregnant women
 
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1
Department of Obstertrics, Gynecology and Obstetric-Gynecological Nursing, Faculty of Nursing and Health Sciences, Medical University, Lublin, Poland
2
Saint John Independent Regional Hospital, Lublin, Poland
3
Independent Neurological Rehabilitation Unit, Faculty of Nursing and Health Sciences, Medical University, Lublin, Poland
CORRESPONDING AUTHOR
Magdalena Lewicka   

Department of Obstertrics, Gynecology and Obstetric-Gynecological Nursing, Medical University, Chodźki 6, 20-093 Lublin, Poland
 
J Pre Clin Clin Res. 2012;6(2):126–130
KEYWORDS
ABSTRACT
Introduction:
Cerebral palsy (CP) is a medical and social problem. Among the causes of cerebral palsy are mentioned risk factors associated with the course of pregnancy and labour, as well as post-natal risk factors. Objective. Evaluation of knowledge concerning factors predisposing to cerebral palsy among pregnant women.

Material and Methods:
The study covered 100 pregnant women hospitalized in the Pregnancy Pathology Ward at the Saint John Independent Regional Hospital in Lublin. The database and statistical analysis were performed using statistical software STATISTICA 8.0 (StatSoft, Poland).

Results:
In the opinions of pregnant women in the study, the causes of the occurrence of CP related with the pathology of pregnancy are as follows: intrauterine infections (39.0%), chronic diseases and congenital abnormalities in the mother (35.0%), birth defects concerning the central nervous system of the foetus (46.0%), and stimulants used in pregnancy (52.0%). According to the respondents, the most frequent cause associated with the pathology of labour which predisposes to the occurrence of CP is intracranial bleeding (42.0%), low Apgar score (38.0%), hypoxic ischaemic encephalopathy (30.0%), and perinatal injury (31.0%).

Conclusions:
There is a need for educating women living in rural areas, with elementary or vocational elementary level of education, and those possessing a mediocre or poor material standard, concerning factors predisposing to the occurrence of cerebral palsy (CP) associated with pregnancy, labour and delivery, and the postpartum period

 
REFERENCES (12)
1.
Johnson A. Prevalence and characteristics of children witch cerebral palsy in Europe. Surveillance of cerebral palsy in Europe (SCPE). Dev Med Child Neurol. 2002, 44, 633-640.
 
2.
Sternal M, Kwiatkowska B, Borysławski K. Czynniki zwiększające ryzyko mózgowego porażenia dziecięcego (Risk factors for cerebral palsy). Pediatr Pol. 2011; 86(2): 163-168 (in Polish).
 
3.
Polak K, Rutkowska M, Helwich E, Kułakowska Z, Jeziorek A, Szamotulska K, and PREMATURITAS. Współczesne poglądy na mózgowe porażenie dziecięce u noworodków przedwcześnie urodzonych na podstawie przeglądu piśmiennictwa i obserwacji prowadzonych w ramach badania PREMATURITAS. Med Wiek Rozwojow. 2008; 12(4): 942-949.
 
4.
Wu YW, Croen LA, Shah SJ, Newman TB, Najjar DV. Cerebral palsy in a term population: risk factors and neuroimaging findings. Pediatrics 2006; 118: 690-698.
 
5.
Gugała B, Snela S. Mózgowe porażenie dziecięce – rys historyczny i poglądy na temat istoty schorzenia. Pieleg Polozna 2006; 3: 25-26.
 
6.
Michałowicz R. Mózgowe porażenie dziecięce. Wydawnictwo Lekarskie PZWL, Warszawa, 2001.
 
7.
Kułak W, Sobaniec W, Okurowska-Zawada B, Sienkiewicz D, Paszko- Patej G: Antenatal, intrapartum and neonatal risk factors for cerebral palsy in children in podlaskie province. Neurol Dziec. 2009; 36(18): 19-24.
 
8.
Livinec F, Ancel PY, Marret S, Arnaud C, Fresson J, Pierrat V, et al. Prenatal risk factors for cerebral palsy in very preterm singletons and twins. Obstet Gynecol. 2005; 105(6): 1341-1347.
 
9.
Thorngren-Jerneck K, Herbst A. Perinatal factors associated with cerebral palsy in children born in Sweden. Obstet Gynecol. 2006; 108(6): 1499-1505.
 
10.
O’Callaghan ME, MacLennan AH, Gibson CS, McMichael GL, Haan EA, Broadbent JL, Goldwater PN, Dekker GA. Epidemiologic associations with cerebral palsy. Obstet Gynecol. 2011; 118(3): 576–582.
 
11.
Himmelmann K, Ahlin K, Jacobsson B, Cans C, Thorsen P. Risk factors for cerebral palsy in children born at term. Acta Obstet Gynecol Scand. 2011; 90(10): 1070-1081.
 
12.
Sukhov A, Wu Y, Xing G, Smith LH, Gilbert WM. Risk factors associated with cerebral palsy in preterm infants. J Matern Fetal Neonatal Med. 2012; 25(91): 53-57.
 
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