249 failure of early infant stimulation in improving the prognosis of severely asphyxiated neonates
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ABSTRACT The results of early stimulation in the treatment of severely asphyxiated neonates was evaluated. Eight patients with fetal distress (8/8) and perinatal asphyxia (8/8) who required
resuscitation in the delivery room (8/8) with thick meconium in the trachea (7/8) and 1-min Apgar scores of <4 (7/8) were assessed at 8 mos-2 yrs of age. These patients had prolonged and
difficult-to-control seizure activity (8/8) and required multiple anticonvulsant therapies (8/8) and respirator support (7/8) during the neonatal period. All received early sensory motor
stimulation (i.e., aural, visual, tactile, oromotor, positioning, etc.) from a neurodevelopmental therapist within the first 13 mos of life for a minimum of 2 hrs/wk and the parents were
instructed to give ongoing daily therapy. Despite early infant stimulation all infants (8/8) showed persistent psychomotor delay. Abnormal initial CTT's occurred in 4/8; abnormal
followup CTT's in 6/6; abnormal EEG's in 7/8. Severely asphyxiated infants who receive early stimulation do not achieve normal development despite comprehensive intervention.
ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * (Spon. by F.Lifshltz). Cornell Univ. Med. Coll., North Shore Univ. Hosp., Depts. of Ped., Ob.-Gyn., and Neur., Manhasset, N.Y. R G
Harper, B Wilson, C G Sia, M Olson, R Berman & S Lubrano Authors * R G Harper View author publications You can also search for this author inPubMed Google Scholar * B Wilson View author
publications You can also search for this author inPubMed Google Scholar * C G Sia View author publications You can also search for this author inPubMed Google Scholar * M Olson View author
publications You can also search for this author inPubMed Google Scholar * R Berman View author publications You can also search for this author inPubMed Google Scholar * S Lubrano View
author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Harper, R., Wilson, B.,
Sia, C. _et al._ 249 FAILURE OF EARLY INFANT STIMULATION IN IMPROVING THE PROGNOSIS OF SEVERELY ASPHYXIATED NEONATES. _Pediatr Res_ 15 (Suppl 4), 481 (1981).
https://doi.org/10.1203/00006450-198104001-00259 Download citation * Issue Date: 01 April 1981 * DOI: https://doi.org/10.1203/00006450-198104001-00259 SHARE THIS ARTICLE Anyone you share the
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