Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes

Detalhes bibliográficos
Autor(a) principal: Barros, Marina Carvalho de Moraes [UNIFESP]
Data de Publicação: 2008
Outros Autores: Guinsburg, Ruth [UNIFESP], Mitsuhiro, Sandro Sendin [UNIFESP], Chalem, Elisa [UNIFESP], Laranjeira, Ronaldo [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0021-75572008000300006
http://repositorio.unifesp.br/handle/11600/4378
Resumo: OBJECTIVE: To compare the neurobehavior of small (SGA) and adequate (AGA) for gestational age full-term neonates born to adolescent mothers. METHODS: This prospective cross-sectional study included full-term newborn infants aged 24-72 hours, free from central nervous system malformations and born to adolescent mothers at a single center in Brazil. Infants were assessed with the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) for: habituation, attention, arousal, regulation, handling, quality of movement, excitability, lethargy, nonoptimal reflexes, asymmetry, hypertonia, hypotonia, and stress/abstinence signals. The chi-square test and analysis of variance were used to compare SGA and AGA infants. Multivariate regression was used to analyze factors associated with the score of each NNNS variable. RESULTS: Of 3,685 infants born in the study hospital, 928 (25%) had adolescent mothers. Of these, 477 infants met the inclusion criteria: 419 (88%) were AGA and 58 (12%) were SGA. Univariate analysis did not show any differences between AGA and SGA neonates in terms of NNNS variables. Multivariate analysis showed that SGA neonates born by vaginal delivery had lower scores for quality of movements than those born by caesarean section. The SGA neonates born with local or without anesthesia had higher scores for excitability than those born with spinal anesthesia. Additionally, female SGA neonates had lower scores for stress/abstinence signals than males. CONCLUSION: SGA neonates born to adolescent mothers showed poorer quality of movements, more excitability and more signals of stress in association with sex of infant and variables related to delivery.
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spelling Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentesNeurobehavior of full-term small for gestational age newborn infants of adolescent mothersBehaviorpregnancy in adolescenceinfant, newbornComportamentogravidez na adolescênciarecém-nascidoOBJECTIVE: To compare the neurobehavior of small (SGA) and adequate (AGA) for gestational age full-term neonates born to adolescent mothers. METHODS: This prospective cross-sectional study included full-term newborn infants aged 24-72 hours, free from central nervous system malformations and born to adolescent mothers at a single center in Brazil. Infants were assessed with the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) for: habituation, attention, arousal, regulation, handling, quality of movement, excitability, lethargy, nonoptimal reflexes, asymmetry, hypertonia, hypotonia, and stress/abstinence signals. The chi-square test and analysis of variance were used to compare SGA and AGA infants. Multivariate regression was used to analyze factors associated with the score of each NNNS variable. RESULTS: Of 3,685 infants born in the study hospital, 928 (25%) had adolescent mothers. Of these, 477 infants met the inclusion criteria: 419 (88%) were AGA and 58 (12%) were SGA. Univariate analysis did not show any differences between AGA and SGA neonates in terms of NNNS variables. Multivariate analysis showed that SGA neonates born by vaginal delivery had lower scores for quality of movements than those born by caesarean section. The SGA neonates born with local or without anesthesia had higher scores for excitability than those born with spinal anesthesia. Additionally, female SGA neonates had lower scores for stress/abstinence signals than males. CONCLUSION: SGA neonates born to adolescent mothers showed poorer quality of movements, more excitability and more signals of stress in association with sex of infant and variables related to delivery.OBJETIVO: Comparar o neurocomportamento de recém-nascidos a termo pequenos (PIG) e adequados (AIG) para a idade gestacional, filhos de mães adolescentes. MÉTODOS: Estudo transversal prospectivo de nascidos a termo AIG e PIG, com 24-72 horas de vida, sem afecções do sistema nervoso central. Os neonatos foram avaliados por meio da Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) para: habituação, atenção, despertar, controle, manobras para a orientação, qualidade dos movimentos, excitabilidade, letargia, reflexos não ótimos, assimetria, hipertonia, hipotonia e sinais de estresse e abstinência. A comparação dos grupos AIG e PIG foi feita por análise de variância e teste do qui-quadrado. Aplicou-se a regressão multivariada para analisar os fatores associados ao escore de cada variável do NNNS. RESULTADOS: Dos 3.685 nascidos no local do estudo, 928 (25%) eram de mães adolescentes. Desses, 477 satisfizeram os critérios de inclusão, sendo 419 (88%) AIG e 58 (12%) PIG. A análise univariada não mostrou diferença em nenhuma das variáveis da NNNS entre os PIG e os AIG. Na análise multivariada, os PIG nascidos de parto vaginal apresentaram menor escore na variável qualidade de movimentos do que os nascidos por cesárea. Os PIG nascidos com anestesia local ou sem anestesia apresentaram maior escore na variável excitabilidade do que os nascidos sob anestesia loco-regional. Os PIG femininos tiveram menor escore na variável sinais de estresse/abstinência que os masculinos. CONCLUSÃO: Os recém-nascidos PIG de mães adolescentes mostraram menor qualidade de movimento, mais excitabilidade e mais sinais de estresse, em associação com o sexo do neonato e com variáveis relacionadas ao parto.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de PediatriaUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Unidade de Pesquisa em Álcool e DrogasUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de PsiquiatriaUNIFESP, EPM, Depto. de PediatriaUNIFESP, EPM, Unidade de Pesquisa em Álcool e DrogasUNIFESP, EPM, Depto. de PsiquiatriaSciELOFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Sociedade Brasileira de PediatriaUniversidade Federal de São Paulo (UNIFESP)Barros, Marina Carvalho de Moraes [UNIFESP]Guinsburg, Ruth [UNIFESP]Mitsuhiro, Sandro Sendin [UNIFESP]Chalem, Elisa [UNIFESP]Laranjeira, Ronaldo [UNIFESP]2015-06-14T13:38:33Z2015-06-14T13:38:33Z2008-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion217-223application/pdfhttp://dx.doi.org/10.1590/S0021-75572008000300006Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 84, n. 3, p. 217-223, 2008.10.1590/S0021-75572008000300006S0021-75572008000300006.pdf0021-7557S0021-75572008000300006http://repositorio.unifesp.br/handle/11600/4378WOS:000257402800006porJornal de Pediatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-03T18:25:07Zoai:repositorio.unifesp.br/:11600/4378Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-03T18:25:07Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
Neurobehavior of full-term small for gestational age newborn infants of adolescent mothers
title Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
spellingShingle Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
Barros, Marina Carvalho de Moraes [UNIFESP]
Behavior
pregnancy in adolescence
infant, newborn
Comportamento
gravidez na adolescência
recém-nascido
title_short Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
title_full Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
title_fullStr Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
title_full_unstemmed Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
title_sort Neurocomportamento de recém-nascidos a termo, pequenos para a idade gestacional, filhos de mães adolescentes
author Barros, Marina Carvalho de Moraes [UNIFESP]
author_facet Barros, Marina Carvalho de Moraes [UNIFESP]
Guinsburg, Ruth [UNIFESP]
Mitsuhiro, Sandro Sendin [UNIFESP]
Chalem, Elisa [UNIFESP]
Laranjeira, Ronaldo [UNIFESP]
author_role author
author2 Guinsburg, Ruth [UNIFESP]
Mitsuhiro, Sandro Sendin [UNIFESP]
Chalem, Elisa [UNIFESP]
Laranjeira, Ronaldo [UNIFESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Barros, Marina Carvalho de Moraes [UNIFESP]
Guinsburg, Ruth [UNIFESP]
Mitsuhiro, Sandro Sendin [UNIFESP]
Chalem, Elisa [UNIFESP]
Laranjeira, Ronaldo [UNIFESP]
dc.subject.por.fl_str_mv Behavior
pregnancy in adolescence
infant, newborn
Comportamento
gravidez na adolescência
recém-nascido
topic Behavior
pregnancy in adolescence
infant, newborn
Comportamento
gravidez na adolescência
recém-nascido
description OBJECTIVE: To compare the neurobehavior of small (SGA) and adequate (AGA) for gestational age full-term neonates born to adolescent mothers. METHODS: This prospective cross-sectional study included full-term newborn infants aged 24-72 hours, free from central nervous system malformations and born to adolescent mothers at a single center in Brazil. Infants were assessed with the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) for: habituation, attention, arousal, regulation, handling, quality of movement, excitability, lethargy, nonoptimal reflexes, asymmetry, hypertonia, hypotonia, and stress/abstinence signals. The chi-square test and analysis of variance were used to compare SGA and AGA infants. Multivariate regression was used to analyze factors associated with the score of each NNNS variable. RESULTS: Of 3,685 infants born in the study hospital, 928 (25%) had adolescent mothers. Of these, 477 infants met the inclusion criteria: 419 (88%) were AGA and 58 (12%) were SGA. Univariate analysis did not show any differences between AGA and SGA neonates in terms of NNNS variables. Multivariate analysis showed that SGA neonates born by vaginal delivery had lower scores for quality of movements than those born by caesarean section. The SGA neonates born with local or without anesthesia had higher scores for excitability than those born with spinal anesthesia. Additionally, female SGA neonates had lower scores for stress/abstinence signals than males. CONCLUSION: SGA neonates born to adolescent mothers showed poorer quality of movements, more excitability and more signals of stress in association with sex of infant and variables related to delivery.
publishDate 2008
dc.date.none.fl_str_mv 2008-06-01
2015-06-14T13:38:33Z
2015-06-14T13:38:33Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0021-75572008000300006
Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 84, n. 3, p. 217-223, 2008.
10.1590/S0021-75572008000300006
S0021-75572008000300006.pdf
0021-7557
S0021-75572008000300006
http://repositorio.unifesp.br/handle/11600/4378
WOS:000257402800006
url http://dx.doi.org/10.1590/S0021-75572008000300006
http://repositorio.unifesp.br/handle/11600/4378
identifier_str_mv Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 84, n. 3, p. 217-223, 2008.
10.1590/S0021-75572008000300006
S0021-75572008000300006.pdf
0021-7557
S0021-75572008000300006
WOS:000257402800006
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Jornal de Pediatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 217-223
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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