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Article ; Online: The Risk Factors of Cerebral Palsy among the Children Attending a Children's Hospital.

Mishra, Tulashi Adhikari / Shrestha, Sarala / Prajapati Manandhar, Bina / Sharma, Pratima

Journal of Nepal Health Research Council

2022  Volume 19, Issue 4, Page(s) 778–783

Abstract: Background: Cerebral Palsy is a disorder of movement and posture caused by nonprogressive abnormal brain function. It is a lifelong condition and one of the most common causes of physical disability in children. The objective of this study was to find ... ...

Abstract Background: Cerebral Palsy is a disorder of movement and posture caused by nonprogressive abnormal brain function. It is a lifelong condition and one of the most common causes of physical disability in children. The objective of this study was to find out the risk factors associated with cerebral palsy among children.
Methods: A case control study was carried out among 330 children where cases and controls were taken in the ratio of 1:2. Cases included children diagnosed with cerebral palsy and attending neurological out-patient department of a Children's Hospital in Kathmandu, Nepal and control included children not having cerebral palsy and attending medical out-patient department of the same hospital for other medical problems. The data were collected from November 29, 2017 to May 20, 2018 by using a pretested interview schedule. The findings were analyzed using frequency, percentage, mean, standard deviation and chi square test and odds ratio.
Results: Findings revealed that about one-fourth (24.5%) cases were diagnosed to have CP within one year of age. In terms of sex majority (63.6%) of the cases were male and majority were the first born children. Findings also revealed that infection during pregnancy (OR:2.9, CI: 1.1-7.5), family history of cerebral palsy (OR:5.6, CI: 1.4-21.8), instrumental delivery (OR: 10.9, CI:2.3-50.6), not crying immediately after birth (OR: 17.3, CI: 8.6-34.6), were significantly associated with cerebral palsy.
Conclusions: Most of the identified risk factors are preventable and controllable through proper antenatal and skilled intranatal care. Thus, every pregnant woman should receive proper care during pregnancy as well as during delivery for the prevention of the identified risk factors.
MeSH term(s) Case-Control Studies ; Cerebral Palsy/epidemiology ; Cerebral Palsy/etiology ; Child ; Female ; Hospitals ; Humans ; Male ; Nepal/epidemiology ; Pregnancy ; Risk Factors
Language English
Publishing date 2022-03-13
Publishing country Nepal
Document type Journal Article
ZDB-ID 2551251-1
ISSN 1999-6217 ; 1999-6217
ISSN (online) 1999-6217
ISSN 1999-6217
DOI 10.33314/jnhrc.v19i04.3808
Database MEDical Literature Analysis and Retrieval System OnLINE

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