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Title: | Perinatal care with a view to preventing cerebral palsy. | Authors: | Badawi N.;Hunt R.W.;Mcintyre S. | Institution: | (Badawi) Grace Centre for Newborn Care, Children's Hospital at Westmead Sydney Children's Hospital Network, Sydney, NSW, Australia (Badawi, Mcintyre) Cerebral Palsy Alliance Research Institute, Specialty of Child & Adolescent Health, Sydney Medical School, Faculty of Medicine & Health, The University of Sydney, Sydney, NSW, Australia (Hunt) Department of Paediatrics, Monash University, Melbourne, VIC, Australia (Hunt) Neonatal Research, Clinical Sciences, Murdoch Children's Research Institute, Melbourne, VIC, Australia (Hunt) Monash Newborn, Monash Health, Melbourne, VIC, Australia | Issue Date: | 26-Jan-2021 | Copyright year: | 2021 | Publisher: | Blackwell Publishing Ltd | Place of publication: | United Kingdom | Publication information: | Developmental Medicine and Child Neurology. 63 (2) (pp 156-161), 2021. Date of Publication: February 2021. | Journal: | Developmental Medicine and Child Neurology | Abstract: | Birth prevalence of cerebral palsy (CP) is declining in high-income countries, to as low as 1.4 per 1000 live births in the most recent international reports. This represents a 35% reduction in birth prevalence over a 15-year period. This reduction is underpinned by a heightened focus of attention towards all aspects of CP, including: increased awareness, better data collection, development of national networks and registries, an explosion of research in basic science, perinatal care, neonatal neurology, public health, early detection, and targeted early intervention. Quick uptake of evidence into practice has ensued and overall improvements in clinical care occurred concurrently. It is anticipated that with continued partnerships with families, ongoing research driving further clinical improvement and vice versa, birth prevalence and severity of CP will further decline and the focus will shift to prevention in low- and middle-income countries. What this paper adds: Research in the field of perinatal care and cerebral palsy (CP) prevention has increased significantly. In high-income countries, increased awareness of CP and scientific advances have improved clinical care. Population-based registers have limitations but remain the best mechanism to quantify birth prevalence of CP and accurately track trends. There have been recent reductions in the birth prevalence of CP.Copyright © 2020 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press | DOI: | http://monash.idm.oclc.org/login?url= http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/dmcn.14754 |
PubMed URL: | 33251607 [http://www.ncbi.nlm.nih.gov/pubmed/?term=33251607] | ISSN: | 0012-1622 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/28559 | Type: | Review | Subjects: | intrapartum care intrauterine growth retardation live birth low income country middle income country neonatal intensive care unit neurology newborn apnea/dt [Drug Therapy] *perinatal care prematurity prenatal period prevalence priority journal public health review risk factor risk reduction term birth antibiotic agent caffeine/dt [Drug Therapy] caffeine/pv [Special Situation for Pharmacovigilance] corticosteroid/dt [Drug Therapy] corticosteroid/pv [Special Situation for Pharmacovigilance] magnesium sulfate/dt [Drug Therapy] magnesium sulfate/pv [Special Situation for Pharmacovigilance] progesterone recombinant erythropoietin premature labor/dt [Drug Therapy] acquired brain injury awareness brain injury *cerebral palsy/cn [Congenital Disorder] *cerebral palsy/di [Diagnosis] *cerebral palsy/ep [Epidemiology] *cerebral palsy/pc [Prevention] clinical research disease severity early diagnosis early intervention echography high income country hospital discharge human human intrapartum care intrauterine growth retardation live birth low income country middle income country neonatal intensive care unit neurology newborn apnea / drug therapy *perinatal care premature labor / drug therapy prematurity prenatal period prevalence priority journal public health Review awareness risk reduction term birth acquired brain injury risk factor brain injury *cerebral palsy / *congenital disorder / *diagnosis / *epidemiology / *prevention clinical research disease severity early diagnosis early intervention echography high income country hospital discharge |
Type of Clinical Study or Trial: | Review article (e.g. literature review, narrative review) |
Appears in Collections: | Articles |
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