Main Article Content
(GMs) in infants can be used as a tool to predict developmental
outcome. Until now, there is no published study in this field in
Objectives The aim of this study was to evaluate the quality of
GMs of newborn infants.
Methods A prospective study was done at neonatal ward, Dr.
Soetomo Hospital in Surabaya, between December 2006 and
January 2007. A single supine position video recording of newborns
at GMs preterm and writhing age was made using Precthl's method.
Infants were chosen consecutively among singletons above 28
week gestational age. The quality of GMs was assessed by means
of Gestalt perception by one of the authors, who had been trained
and certified in GMs. GMs were classified into: normal-optimal,
normal-suboptimal, mildly-abnormal, and definitely-abnormal.
Correlation tests were used to assess the relationship between
perinatal conditions and the quality of GMs.
Results 106 videos were recorded, and 100 were assessed
completely. Abnormal GMs were found in both 35 preterm
age (normal-optimal 2.9%; normal-suboptimal 28.6%; mildly-
abnormal45. 7o/o; definitely-abnormal22.9o/o) and 65 writhing age
(3.1 o/o; 41.5%; 41.5%; 13.8%, respectively) (P=0.285). There was
a weak negative correlation between birth weight and the quality
ofGMs (r=-0.20, P=0.044).
Conclusions The quality ofGMs in Indonesian newborn infants in
our study was predominantly abnormal, which puts these infants
at high risk for later developmental disorders. The lower the
infants'birth weight, the more likely for abnormal GMs.
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