Neurobehavioral assessment before birth

DiPietro, Janet A.

doi:10.1002/mrdd.20047

Cited by 50 publications

(33 citation statements)

References 151 publications

(183 reference statements)

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“…We collected fetal data only at one time point during gestation. As DiPietro has shown, using multiple assessments throughout pregnancy (DiPietro, 2005), patterns in the associations between fetal behaviors at different ages and infant temperament can change. A single assessment such as ours may have lead to spurious results.…”

Section: Discussionmentioning

confidence: 96%

Prenatal predictors of infant temperament

Werner

Myers

Fifer

et al. 2007

Developmental Psychobiology

106

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Emerging data suggest that prenatal factors influence children's temperament. In 50 dyads, we examined fetal heart rate (FHR) activity and women's antenatal psychiatric illness as predictors of infant temperament at 4 months (response to novelty and the Infant Behavior Checklist). FHR change during maternal challenge was positively associated with observed infant motor reactivity to novelty (p = .02). The odds of being classified as high versus low motor among fetuses who had an increase in FHR during maternal stress was 11 times those who had a decrease in FHR (p = .0006). Antenatal psychiatric diagnosis was associated with an almost fourfold greater odds of having a high cry reactivity classification (p = .03). There also were modest associations between baseline FHR and maternal reports of infant temperament and between observed temperament and that based on mothers' reports. All of the infant results were found independent of the influence of women's postnatal anxiety. These data indicate that physiological markers of individual differences in infant temperament are identifiable in the fetal period, and possibly shaped by the prenatal environment.

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Section: Discussionmentioning

confidence: 96%

Prenatal predictors of infant temperament

Werner

Myers

Fifer

et al. 2007

Developmental Psychobiology

106

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“…39,54,62 DiPietro states that an emerging consensus recognizes the fact that "fetal neurobehavioral reflects the developing nervous system", however we don't know yet the conceptual and methodological strengths and weaknesses of fetal assessments proposed. 65 We are not ready yet to predict the neurological outcome in fetuses between two extreme situations, optimal or very abnormal. The predictive value for a favorable outcome of a complete neurobehavioral pattern in fetus as from 22 gestational weeks on should be demonstrated.…”

Section: Resultsmentioning

confidence: 99%

Fetal Neurology—Lesson Learned and Future Challenges

Mišković¹,

Azumendi²,

Kurjak³

et al. 2007

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Neurological failure is the most apprehension complication of pregnancy, labor and the neonatal period. The origin and outcome correlation is frequently doubtful. The arrival of four-dimensional ultrasonography (4D US) and its function to study fetal behavior patterns have initiated to offer insight into the structural and functional fetal brain development. Although many fetal behavioral studies have been conducted, it is still questionable whether the assessment of continuity from fetal to neonatal behavior could improve our ability of early detection of brain pathology. Neurological assessment of fetus in utero is extremely difficult even having such sophisticated equipment like 4D ultrasound. As it is well known that quantity of GMs is not so informative and predictive for neurological impairment, their quality should be assessed. Gestalt perception of premature GMs we are dealing with in utero and several weeks postnatally are not as predictive for the detection of neurologically abnormal fetuses or newborns as fidgety GMs. Therefore some additional parameters should be added to the prenatal neurological examination in order to improve our ability to make the distinction between normal and abnormal fetuses.

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“…31,36,37,61,70,77 D Pietro states that an emerging consensus recognizes the fact that "fetal neurobehavior reflects the developing nervous system", however, we do not know yet the conceptual and methodological strengths and weaknesses of fetal assessments proposed. 78 We are hardly ready to predict the neurological outcome in fetuses between two extreme situations, optimal or very abnormal. The predictive value for a favorable outcome of a complete neurobehavioral pattern in fetus as from 22 gestational weeks one should be demonstrated.…”

Section: Discussionmentioning

confidence: 99%

Continuity from Fetal to Neonatal Behavior: Lessons Learned and Future Challenges

Stanojević¹,

Kurjak²

2011

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Understanding the relation between fetal and infant behavior and developmental processes of the brain in different periods of gestation may make achievable the distinction between normal and abnormal brain development as well as the early diagnosis of various structural or functional abnormalities. As the development of the brain is unique and continuing process throughout the gestation and after birth, it is expected that there is also continuity of fetal and neonatal behavior, which is the best functional indicator of developmental processes of the brain.The aim is to present continuity of the general and other movements from prenatal to postnatal life in fetuses and newborns from lowand high-risk pregnancies.Epidemiological studies revealed that many neurologically impaired infants belong to low-risk population, which means that they seemed to be developmentally normal as fetuses and as infants, while later in childhood neurological disability was diagnosed. Dyskinetic cerebral palsy (CP) is the dominant type of CP found in term-born, appropriate-for-gestational-age children with severe impairments who have frequently experienced adverse perinatal events. As neuroprotective methods of treatment are available for some infants, simple screening methods could be helpful to detect impaired fetuses early enough in order to avoid developmental catastrophe. It has been clear from postnatal assessment of Prechtl's neonatal general movements (GMs) that it is a better predictor of neurodevelopmental disability than neurological examination. Introduction of two-dimensional (2D) and four-dimensional (4D) ultrasound enabled introduction of GMs assessment to the prenatal period. Kurjak et al conducted a study by 4D ultrasound and confirmed earlier findings made by 2D ultrasonography, that there is behavioral pattern continuity from prenatal to postnatal life. New antenatal neurological screening test has been introduced by Kurjak et al (KANET), which was postnatally followed by postnatal neurological screening assessment according to Amiel-Tison (ATNAT). Although many fetal behavioral studies have been conducted in low-and high-risk pregnancies and KANET has been recently standardized, it is still questionable whether the assessment of continuity from fetal to neonatal behavior could improve ability for early detection of brain pathology.

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Neurobehavioral assessment before birth

Cited by 50 publications

References 151 publications

Prenatal predictors of infant temperament

Prenatal predictors of infant temperament

Fetal Neurology—Lesson Learned and Future Challenges

Continuity from Fetal to Neonatal Behavior: Lessons Learned and Future Challenges

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