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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 / Milner, 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, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / 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

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Online
ISSN
1619-3997
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Volume 36, Issue 1 (Jan 2008)

Issues

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

Asim Kurjak
  • 1Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia
/ Berivoj Miskovic
  • 2Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia
/ Milan Stanojevic
  • 3Department of Neonatology, Sveti Duh Hospital, Zagreb, Croatia
/ Claudine Amiel-Tison
  • 4Department of Pediatrics, Port-Royal-Baudelocque, University of Paris V, Paris, France
/ Badreldeen Ahmed
  • 5Department of Obstetrics and Gynecology, Fetomaternal Unit, Hamad Medical Corporation, Doha, Qatar
/ Guillermo Azumendi
  • 6Clinica Gutenberg, Malaga, Spain
/ Oliver Vasilj
  • 7Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia
/ Wiku Andonotopo
  • 8Department of Obstetrics and Gynecology, Cipto Mangunkusumo Hospital, Medical School, University of Indonesia, Jakarta, Indonesia
/ Tanja Turudic
  • 9Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia
/ Aida Salihagic-Kadic
  • 10Department of Physiology, Medical School University of Zagreb, Zagreb, Croatia
Published Online: 2008-01-10 | DOI: https://doi.org/10.1515/JPM.2008.007

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

About the article

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


Received: 2007-07-05

Revised: 2007-09-20

Accepted: 2007-10-18

Published Online: 2008-01-10

Published in Print: 2008-01-01


Citation Information: Journal of Perinatal Medicine, ISSN (Online) 16193997, ISSN (Print) 03005577, DOI: https://doi.org/10.1515/JPM.2008.007. Export Citation

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