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Archives of Disease in Childhood Fetal and Neonatal Edition 2005;90:F193-FF194
© 2005 Archives of Disease in Childhood Fetal and Neonatal Edition


PERSPECTIVES

Encephalopathy

Prevalence, causes, and outcome at 2 years of age of newborn encephalopathy

N Marlow, H Budge

Academic Division of Child Health, School of Human Development, University of Nottingham, Nottingham, UK

Correspondence to:
Correspondence to:
Professor Marlow
Academic Division of Child Health, Level E East Block, Queen’s Medical Centre, Nottingham NG7 2UH, UK; neil.marlow@nottingham.ac.uk


A commentary on the article by Pierrat et al

Keywords: encephalopathy; outcome; prevalence; population based study

The first 150 words of the full text of this article appear below.

Regional population based studies of infants who suffer from intrapartum hypoxia are rare, and Pierrat and colleagues are to be congratulated on such a study. As always it is easy to criticise such studies because case definition is so difficult, and, without accurate imaging and detailed case evaluation, it is difficult to be sure that a neonatal encephalopathy is due to hypoxia. The definition of perinatal hypoxia-ischaemia that they have used might be viewed as inclusive and is at variance with the template for intrapartum causation for cerebral palsy, which requires evidence of an intrapartum event.1 Without detailed evaluation of each case, it is difficult to be certain of the timing of the cause.

In the literature, most outcome evaluations of neonatal populations have studied very preterm infants, and there have been only a few population studies of neonatal encephalopathy. The birth prevalence of encephalopathy reported in this paper . . . [Full text of this article]







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