Aquisição dos marcos motores até a marcha em prematuros de muito baixo peso: influência da pré-elampsia, da adequação do peso ao nascer e do sexo do recém-nascido
Carregando...
Data
2009-02-27
Autores
Volpi, Sandra Cristina Pizzocaro [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
É grande a preocupação com o desenvolvimento motor de prematuros de muito baixo peso, mas as idades de seus marcos motores não estão bem estabelecidas. Determinar as idades cronológica e corrigida dos marcos motores até a marcha, em prematuros de muito baixo peso. Estudo de coorte, em 143 prematuros com menos de 1500g e idade gestacional menor ou igual a 34 semanas, sem alterações neurossensoriais, selecionados no ambulatório de seguimento de recém-nascidos de Unidade de Terapia Intensiva Neonatal do Hospital das Clinicas da Faculdade de Medicina de Botucatu- Universidade Estadual Paulista, no período de 1998 a 2003 e avaliados a cada dois meses de seguimento até a marcha. Dos 155 prematuros incluídos houve perda de 9% da coorte, restando no estudo143 lactentes. A média de idade gestacional foi 30±2 semanas.O peso ao nascimento de 1130±222g, sendo 59% do sexo feminino e 43% pequenos para Idade gestacional. Houve atraso superior a um mês nas idades cronológicas do controle de cabeça, rastejar e engatinhar, mas na idade corrigida todos os marcos foram alcançados no prazo previsto. Não houve diferença entre meninos e meninas. Os pequenos para idade gestacional diferiram dos adequados, mas obtiveram seus marcos dentro da normalidade. Houve correlação significativa entre os marcos motores. Prematuros de muito baixo peso, sem alterações neurossensoriais, apresentam marcos motores no prazo normal: controlam a cabeça no 2o mês, sentam aos sete meses e andam com 12,8 meses de idade corrigida, correspondendo respectivamente ao 4o, 9o e 15o mês de idade cronológica. Os marcos motores são mais tardios nos prematuros pequenos para idade gestacional.
There is great concern regarding to the neurodevelopment of very low birthweight infants, but the ages of gross motor milestone attainement are not well established. To determine the chronological and corrected ages of gross motor milestones until walking attainment in very low birthweight infants. Methods: Prospective cohort study, including 143 preterm infants < 1500g and ≤ 34 weeks of gestation, without neurological and sensorial sequelae, recruited from 1998 to 2003 in the Neonatal High Risk Follow-up Clinic of HC- Botucatu Medical School-UNESP, and bimonthly evaluated up to walking attainment. Of the 155 preterm included, there was loss of 9% of the cohort, and 143 were studied. Mean gestational age was 30±2 weeks, birth weight 1130±222g, 59% were female and 43% small for gestational age. Chronologic ages were delayed more than one month for the head control, creeping, and crawling, however all motor milestones attainment were normal for the correct age. Males did not differ from females. Small for gestational age infants attained their milestones later than those of appropriate size for gestational age, although in the normal range of the expected time. There was a significant correlation between the gross motor milestones. Very low birthweight infants, without neurosensorial sequelae, have a normal profile of the gross motor milestones: head control at 2nd month, siting at 7 months and walking at 12,8 months of corrected age, corresponding to 4th, 9th, and 15th months of chronologic age respectively. Motor milestones are later in the small for getational age infants.
There is great concern regarding to the neurodevelopment of very low birthweight infants, but the ages of gross motor milestone attainement are not well established. To determine the chronological and corrected ages of gross motor milestones until walking attainment in very low birthweight infants. Methods: Prospective cohort study, including 143 preterm infants < 1500g and ≤ 34 weeks of gestation, without neurological and sensorial sequelae, recruited from 1998 to 2003 in the Neonatal High Risk Follow-up Clinic of HC- Botucatu Medical School-UNESP, and bimonthly evaluated up to walking attainment. Of the 155 preterm included, there was loss of 9% of the cohort, and 143 were studied. Mean gestational age was 30±2 weeks, birth weight 1130±222g, 59% were female and 43% small for gestational age. Chronologic ages were delayed more than one month for the head control, creeping, and crawling, however all motor milestones attainment were normal for the correct age. Males did not differ from females. Small for gestational age infants attained their milestones later than those of appropriate size for gestational age, although in the normal range of the expected time. There was a significant correlation between the gross motor milestones. Very low birthweight infants, without neurosensorial sequelae, have a normal profile of the gross motor milestones: head control at 2nd month, siting at 7 months and walking at 12,8 months of corrected age, corresponding to 4th, 9th, and 15th months of chronologic age respectively. Motor milestones are later in the small for getational age infants.
Descrição
Palavras-chave
Prematuros - Peso baixo, Pre-eclampsia
Como citar
VOLPI, Sandra Cristina Pizzocaro. Aquisição dos marcos motores até a marcha em prematuros de muito baixo peso: influência da pré-elampsia, da adequação do peso ao nascer e do sexo do recém-nascido. 2009. 89 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2009.