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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Lee, MD MPH MSCR, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

6 Issues per year


IMPACT FACTOR 2013: 1.425

SCImago Journal Rank (SJR): 0.782
Source Normalized Impact per Paper (SNIP): 0.928

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New scoring system for fetal neurobehavior assessed by three- and four-dimensional sonography

Asim Kurjak1 / Berivoj Miskovic2 / Milan Stanojevic3 / Claudine Amiel-Tison4 / Badreldeen Ahmed5 / Guillermo Azumendi6 / Oliver Vasilj7 / Wiku Andonotopo8 / Tanja Turudic9 / Aida Salihagic-Kadic10

1Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia

2Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia

3Department of Neonatology, Sveti Duh Hospital, Zagreb, Croatia

4Department of Pediatrics, Port-Royal-Baudelocque, University of Paris V, Paris, France

5Department of Obstetrics and Gynecology, Fetomaternal Unit, Hamad Medical Corporation, Doha, Qatar

6Clinica Gutenberg, Malaga, Spain

7Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia

8Department of Obstetrics and Gynecology, Cipto Mangunkusumo Hospital, Medical School, University of Indonesia, Jakarta, Indonesia

9Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia

10Department of Physiology, Medical School University of Zagreb, Zagreb, Croatia

Corresponding author: Dr. Milan Stanojevic Department of Neonatology Sveti Duh Hospital Zagreb, Croatia Tel: +385 1 3712317

Citation Information: Journal of Perinatal Medicine. Volume 36, Issue 1, Pages 73–81, ISSN (Online) 16193997, ISSN (Print) 03005577, DOI: 10.1515/JPM.2008.007, January 2008

Publication History

Received:
2007-07-05
Revised:
2007-09-20
Accepted:
2007-10-18
Published Online:
2008-01-10

Abstract

Aim: To produce a new scoring system for fetal neurobehavior based on prenatal assessment by 3D/4D sonography. We identified severely brain damaged infants and those with optimal neurological findings and compared fetal with neonatal findings.

Results: The new scoring system was retrospectively applied in a group of 100 low-risk pregnancies. After delivery, postnatal neurological assessment was performed, and all neonates assessed as normal reached a score between 14 and 20, which we assumed to be a score of optimal neurological development. Subsequently, the same scoring system was applied in the group of 120 high-risk pregnancies in which, based on postnatal neurological findings, three subgroups of newborns were found: normal, mildly or moderately abnormal, and abnormal. Normal neonates had a prenatal score between 14 and 20, mildly or moderately abnormal neonates had a prenatal score of 5–13, whereas those infants who were assigned as neurologically abnormal had a prenatal score from 0–5.

Conclusion: A new scoring system for the assessment of neurological status for antenatal application is proposed, similar to the neonatal optimality test of Amiel-Tison. This preliminary work may help in detecting fetal brain and neurodevelopmental alterations due to in utero brain impairment.

Keywords: Cerebral function; fetal neurological assessment; four-dimensional ultrasound; prenatal neurobehavior; scoring system

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