Research ArticleOpen Access

Antenatal Risk Factors of Children with Cerebral Palsy

Volume 4 - Issue 2

**ObaidulHaque*¹, EhsanurRahman² and Mohammad Habibur Rahman³**

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- ¹Professor and Head, Department of Physiotherapy, Bangladesh
- ²Assistant Professor, Department of Physiotherapy, Bangladesh
- ³Associate Professor, Department of Physiotherapy, Bangladesh
*Corresponding author:Obaidul Haque, Professor and Head, Department of Physiotherapy, BHPI, CRP, Savar, Bangladesh

Received: April 18, 2018; Published: May 01,2018

DOI: 10.26717/BJSTR.2018.04.001021

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Abstract

Purpose: To identify possible antenatal risk factors affecting the development of cerebral palsy among children.

Methodology: Antenatal events were compared between 25 children with cerebral palsy (CP) and 25 controls in a retrospective casecontrol method. Antenatal factors were analysed as odds ratios, 95% confidence intervals and chi-square test. Factors associated with an increased risk of CP identified as antenatal risk factors were: maternal eclampsia, maternal hypertension, maternal diabetes, physical problem (e.g. fall down), maternal viral diseases, low birth weight (< 2500gm)

Results: Data was analysed by using SPSS version 20 and odds ratio was used. A total 50 participants with cerebral palsy minimum age group of mothers was 18 years and maximum age was 35 years. Among case the mean age of the participants was 26.5 years and boy ratio 54%(n=14) and girl ratio 46%(n=11). Highest mother education were primary 46% (n=23).The frequency of child born in area there were 42% (n=22) home, 22% (n=11) born hospital, 36% (n=18) born clinic and their physical problem 22.0% (n=11) were fall down, 16% (n=8) were weight lifting, 10% (n=5) were traumatic, no related cause 52% (n=26). The factors significantly associated with the cerebral palsy were antenatal care (OR- 1.833; 95% CI, 0.387-8.674, chi-0.22,P>0.05), Maternal Eclampsia (OR- 1.313; 95% CI, 0.308-5.598, chi-0.13, P>0.05), Medicine taken during pregnancy (OR 3.188; 95% CI, 0.99-10.17, p<0.05) cerebral palsy which is statistically significant, Physical problem (OR 5.76; 95%CI, 1.36- 24.36, chi-6.34, p<0.05), cerebral palsy which is statistically significant, maternal hypertension (OR- 11.15; 95% CI 2.86 to 43.46, p<0.05) cerebral palsy which is statistically significant. Maternal diabetes (OR 13.5; 95% CI- 3.55- 51.22, p<0.05) statistically significant. Birth weight (OR 46.00; 95% CI-8.02-263.62, p<0.05) cerebral palsy which is statistically significant.

Conclusion: Study demonstrated that, child birth weight, delayed crying and any pathology during pregnancy were independent factors associated with cerebral palsy in term new-borns child.

Kewords: Antenatal factors; Cerebral Palsy