Neonatal adaptive behavioral assessment in asphyxiated full-term newborn infants as measured by the Brazelton scale
Keywords:
neonatal behavioral assesment, Brazelton scale, asphyxiated newborn infant
Abstract
Background Brazelton scale was designed to assess neonataladaptive behavior, a newborn infant’s ability to interact with envi-
ronmental stimuli. It can be used as a screening tool to detect an
infant’s deviant behavior.
Objective To assess the adaptive behavior of asphyxiated full-term
newborn infants compared to that of non-asphyxiated newborns.
Methods A cross sectional analytic study was conducted from March
2003 until March 2004. Subjects were allocated into two groups
(non asphyxiated and asphyxiated infants) and enrolled consecu-
tively. The evaluation was done twice, at the age of 3-7 days and 1
month. A p value of <0.05 was considered statistically significant.
Results Forty eight newborn infants in each group were compared.
There were no characteristic differences between the groups. At
the first evaluation, non asphyxiated infants scored better on mo-
tor (p=0.015), reflex (p=0.000), habituation (p=0.022), and social-
interaction (p=0.020) than asphyxiated infants did. At the age of 1
month, motor (p<0.0001), reflex (p<0.0001), habituation
(p<0.0001), state organization (p<0.0001), and social-interaction
(p=0.045) were also better in non-asphyxiated infants.
Conclusion Assesment by the Brazelton scale showed that the
adaptive behavior of full-term asphyxiated newborn infants was
different from that of non-asphyxiated infants
References
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assessment scale. In: Brazelton TB, editor. Neo-
natal behavioral assessment scale handbook. Bos-
ton: The Brazelton Institute Children’s Hospital;
1999. p. 1-44.
2. Pillai M, James D. Behavioural states in normal mature
human fetuses. Arch Dis Child 1990; 65:39-43.
3. Brazelton TB, Nugent JK. Neonatal behavioral assess-
ment scale. In: Brazelton TB, editor. Neonatal behav-
ioral assessment scale. 3 th ed. London: Mac Keith Press;
1995. p. 1-91.
4. Brazelton TB. Neonatal behavioral assessment scale. In:
Brazelton TB, editor. Neonatal behavioral assessment
scale. 2 nd ed. London: Blackwell Scientific Publications;
1984. p. 1-6.
5. Dubowitz LMS, Dubowitz V. Historical review. In:
Dubowitz LMS, Dubowitz V, editors. The neurologi-
cal assessment of the preterm and full-term newborn
infant. Philadelphia: JB Lippincott Company; 1981.
p. 1-103.
6. Lou CH. Cerebral growth spurt. In: Lou CH, editor. De-
velopmental neurology. New York: Raven Press; 1982. p.
81-130.
7. Ramanathan S. Evaluation of the neonate beyond
Apgar score. Available from: URL: http://www.
ramanathans.com.
8. Hanzawa N. The assesment of the neonatal high-risk
infants [abstract]. Jpn J Rehabil Med 2000;37:538-45.
9. Prechtl H. Introduction. In: Prechtl H, editor. The
neurological examination of the full-term newborn
infant. 2 nd ed. Philadelphia: JB Lippincott Company;
1977. p. 1-10.
10. P Silva J, C Moragas C, F Mussons B, M Zurita DC. The
effects of acute fetal distress on neonatal behavior mea-
sured by the Brazelton scale [abstract]. An Esp Pediatr
1998; 48:163-6.
11. Low JA, Muir DW, Pater EA, Karchmar EJ. The associa-
tion of intrapartum asphyxia in the mature fetus with new-
born behavior. Am J Obstet Gynecol 1990;163:1131-4.
12. Levene MI. The asphyxiated newborn infant. In: Levene
MI, Chervenak FA, Whittle MJ, editors. Fetal and neo-
natal neurology and neurosurgery. London: Churchill
Livingstone; 2001. p. 471-99.
13. Goodwin M. Role of the Apgar score in assessing perina-
tal asphyxia. Available from: URL: http://www.
contemporaryobgyn.net.
14. Shankaran S. Identification of term infants at risk for
neonatal morbidity. J Pediatr 1998; 132:571-2.
15. Volpe JJ. Neurological examination: normal and abnor-
mal features. In: Volpe JJ, editor. Neurology of the new-
born. 4 th ed. Philadelphia: WB Saunders Company; 2001.
p. 103-33.
Published
2016-10-10
How to Cite
1.
Rundjan L, Pusponegoro H, Tumbelaka A. Neonatal adaptive behavioral assessment in asphyxiated full-term newborn infants as measured by the Brazelton scale. PI [Internet]. 10Oct.2016 [cited 26Apr.2024];44(6):234-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/784
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Received 2016-10-03
Accepted 2016-10-03
Published 2016-10-10
Accepted 2016-10-03
Published 2016-10-10
