Motor performance evaluation of newborns with gastroschisis after surgical correction

Abstract

Introduction: Gastroschisis is a congenital malformation that has risk factors for delayed neuropsychomotor development. That is why it is important to recognize early developmental changes in these newborns during hospitalization in the Neonatal Intensive Care Unit. Objective: To evaluate the motor performance of newborns with gastroschisis after surgical correction. Methods: An observational and retrospective study was carried out with newborns with gastroschisis, assessed by the Test of Infant Motor Performance at the Neonatal Intensive Care Center 2 of the Instituto da Criança e do Adolescente. The test allows the classification of the risk for developmental delay in 4 categories: within the average for age, low average, below average, and well below average. Maternal, neonatal, surgical, and motor assessment data were collected through electronic medical records. Results: Motor assessment was performed on 17 newborns, where 88.23% were classified as “below average” for age. The mean maternal age was 20 years, and the average gestational age and birth weight were 36.38 weeks and 2343.9 grams, respectively, with the majority being female. Simple gastroschisis accounted for 64.71%, and primary closure was possible in 82.35%. The average hospital stay of 53.24 days, and sepsis was the most frequent complication (64.71%). Conclusion: Newborns with gastroschisis remain hospitalized for a long time and are susceptible to complications. It was possible to identify the delay in the development of these newborns early during hospitalization, which allows intervention by physiotherapy before the delay worsens.

Long-Term Neurodevelopmental Outcomes in Children with Gastroschisis: A Review of the Literature

“…[37][38][39][46][47][48][49]52 There were also few studies (n ¼ 3) that indicated below average performance in the motor domain and a higher rate of delayed motor development or disability without reaching statistical significance. 34,47,53 Preschool Age Group Ten studies were found to include data on children with GS at preschool age (25 months-5 years and 11 months). 33,38,41,44 50,51,54-57 Studies in the cognitive/intellectual developmental domain (n ¼ 7) demonstrated that various study cohorts (all of which include children with GS) performed similarly to the normative population.…”

The effect of negationism on public health

“…In this line, Journal of Human Growth and Development brings articles [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] that contribute to the development of science, full knowledge of public health and evidence in the scientific field to corroborate scientific practice and its full application in modern society.…”