Article

The aim of this study was to investigate whether current literature provides
a useful body of evidence reflecting the proportion of cerebral palsy (CP) that
is attributable to birth asphyxia. Method We identified 23 studies conducted
between 1986 and 2010 that provided data on intrapartum risks of CP. Results The
proportion of CP with birth asphyxia as a precursor (case exposure rate) varied
from less than 3% to over 50% in the 23 studies reviewed. The studies were
heterogeneous in many regards, including the definitions for birth asphyxia and
the outcome of CP. Interpretations Current data do not support the belief, widely
held in the medical and legal communities, that birth asphyxia can be recognized
reliably and specifically, or that much of CP is due to birth asphyxia. The very
high case exposure rates linking birth asphyxia to CP can probably be attributed
to several factors: the fact that the clinical picture at birth cannot
specifically identify birth asphyxia; the definition of CP employed; and
confusion of proximal effects - results - with causes. Further research is
needed.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS