The Analysis of the Relations between Low Birth-Weight and Infatile Cerebral Palsy / 中华围产医学杂志

ABSTRACT

Objective To investigate the relations between low birth weight and infantile cerebral palsy. Methods Population based survey was done in townships in Nanning city, Heng county and northern district of Qinzhou city from May to December in 1998. All children in the project townships, from 1 to 6 years old, was investigated for cerebral palsy(CCP). The pediatricians were well trained and qualified before participated. Results One hundred and fifty thousand eight hundred and six infants were enrolled, and 193 infants with cerebral palsy were diagnosed, and the morality of CP was 1.28‰. Sixty one infants with cerebral palsy were found among 1 450 low birth weight infants(42.07‰. One hundred and twenty five cerebral palsy infant were diagnosed among 148 599 infants with normal birth weight(0.84‰). The cerebral palsy rates were significantly different between low birth weight and normal birth weight infants. The lower the birth weight was, the higher the morality. Among the 61 cases of the cerebral palsy infants with low birth weight, there were different conditions of the mothers in the aspects of environment and nutrition during their pregnant period. Among these mothers, 1/3 of them had been got the unhealthy factors;26 cases of them (42.6%) had had complications of pregnancy;38 cases of them(62.3%)had been ill during the neonatal period;20 case of them(32.8%) had been got the abnormal pregnant and delivering history or the premature labor history. Conclusions The low birth weight is a highly risk factor related to cerebral palsy, the mothers have similar disease in the pregnant period. Low birth weight infants should get intensive care, and the illness neonates should be prevented.