A Comparison of Prenatal, Natal, and Postnatal Histories in Children with Cerebral Palsy with and without Swallowing Disorder

Abstract

In children with suspected cerebral palsy (CP) after birth who are followed up, the possibility of swallowing disorder should also be considered from the early stages and should be evaluated on a regular basis. The aim of the study was to compare the prenatal, natal, and postnatal histories in children with CP with and without swallowing disorder. Materials and Methods:Children with CP who were between 2 and 16 years old and who were currently subjected to oral feeding were evaluated. The demographic characteristics and natal histories of the children were noted by asking their caregivers. The 3-ounce water swallow test was used in swallowing evaluation.Results: On the basis of the results of the water swallow test, 46 children were divided into two groups: those who had no swallowing disorder (n=15) and those who had swallowing disorder (n=31). The groups were similar in terms of histories between the prenatal period and natal period (p>0.05). Postnatal histories, including gagging after sucking, weight loss, chewing problem, and head control, were different between groups (p=0.024, p=0.001, p=0.001, and p=0.047, respectively). Conclusion:It is important to evaluate the postnatal symptoms and motor development of children with CP who have swallowing disorders during follow-up.