engleski

Early development and later cognitive outcomes in children born at perinatal risk from asphyxia

There is evidence that 10% of children in our population were born with various risks for neurological disorders ; however, a few of them have various developmental problems. The Special hospital Goljak is the regional centre with a programm for the observation of children at neuro- risk from their birth to school age. In this study the early development and later cognitive status was analysed in children born at perinatal risk - from asphyxia and hemorraghia intracranialis (HIC) of different degrees. The study included full-term children in our hospital (occasional sample), without severe neurological deficits. The developmental status of the children was followed using the developmental RTČ scale. Cognitive functions (visuo-motor perception, spatial integration and general intellectual level) were measured by standard psychological tests from age 5 to 10. Attention function were estimated by DSM- IV criteria. The results could indicate that children at higher neuro-risk mostly show developmental disharmony at an early age. This disharmony persits and even increases at a later age and could indicate later behavioural and specific learning problems. Our aim was to emphasize the need for the follow up of full-term children born at perinatal risk from asphyxia even at school age as well as the need for specific educational intervention.

perinatal asphyxia; early development; cognitive outcome

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