Perinatal complications and socio-economic differences in cerebral palsy in Sweden – a national cohort study

Hjern, Anders; Thorngren-Jerneck, Kristina

doi:10.1186/1471-2431-8-49

Cited by 52 publications

(71 citation statements)

References 14 publications

(17 reference statements)

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“…This is especially true among those who do not receive adequate family or social support (23,24) . Moreover, low income people usually lack a good medical assistance especially during pregnancy and labor, and they have greater chances of having a child with CP (25) . In contrast with previous studies, we found a higher rate of unstable relationships in the CCP group (26,27) .…”

Section: Discussionmentioning

confidence: 99%

Depressão, ansiedade e sonolência diurna em cuidadores primários de crianças com paralisia cerebral

Marx

Rodrigues

et al. 2011

Rev. paul. pediatr.

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OBJETIVO: Avaliar os níveis de depressão, ansiedade e sonolência diurna excessiva em cuidadores primários de crianças com paralisia cerebral, relacionando-os às condições socioeconômicas do cuidador e às características neurológicas da criança e comparando-os a cuidadores de crianças saudáveis. MÉTODOS: 45 cuidadores de crianças com paralisia cerebral e 50 cuidadores de crianças saudáveis foram aleatoriamente incluídos no estudo e responderam a um questionário semiestruturado. Avaliaram-se os níveis de depressão, ansiedade e sonolência diurna excessiva por meio das escalas de Beck, ansiedade estado-traço e Epworth, respectivamente. RESULTADOS: A maioria dos entrevistados eram mães com baixo nível socioeconômico. Os que se autoavaliaram como ansiosos e depressivos apresentaram resultados comprobatórios de ansiedade e depressão com as escalas de ansiedade estado-traço e Beck para os cuidadores de crianças com paralisia cerebral. Os níveis de sonolência diurna excessiva estiveram relacionados a elevados níveis de depressão. O comprometimento neurológico das crianças não influenciou os resultados sobre os cuidadores. CONCLUSÕES: Depressão, ansiedade e problemas relacionados ao sono foram comuns em cuidadores de crianças com paralisia cerebral. O nível de funcionalidade neurológica da criança não influenciou os resultados.

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Section: Discussionmentioning

confidence: 99%

Depressão, ansiedade e sonolência diurna em cuidadores primários de crianças com paralisia cerebral

Marx

Rodrigues

et al. 2011

Rev. paul. pediatr.

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“…Girls born very preterm survive more often than boys and show better cognitive abilities in follow-ups at the age of 5-6 [78]. CP is also 30-40 per cent more common in boys [79].…”

Section: Gender Disparitiesmentioning

confidence: 99%

Children's health: Health in Sweden: The National Public Health Report 2012. Chapter 2

Hjern

2012

Scandinavian Journal of Public Health

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The percentage of girls in the 9 th grade who reported feeling increasingly stressed by schoolwork rose from 50 to nearly 70 per cent in the years between 1997-1998 and 2005-2006.). However, the proportion of children who experienced such problems decreased in 2009/2010. Pupils in the 5 th grade view the lack of peace and quiet in school classrooms as a significant problem. The proportion of children who report that they are bullied in school at least once a week has stood at approximately 3-4 per cent since the 1980s, despite greater efforts to curb bullying in schools. Today's children eat less candy and drink fewer soft drinks than a decade ago. They also eat more fruit and vegetables. The percentage of overweight children has, however, doubled; in the last two decades their number has risen by a factor of four or five. In the most recent years, however, reports have suggested that the rise in the percentage of overweight children has halted, and may have even begun to decline.

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“…13 Moreover, smoking has also been associated with vaginal infections. 14 We therefore hypothesize that exposure both maternal infection and maternal smoking may result in excess risk of CP in comparison with either exposure alone.Maternal age, 15-17 smoking during pregnancy, 14,18 alcohol consumption, 14,19 socioeconomic status, [20][21][22] household size during pregnancy, 14,22 season of pregnancy start, 23,24 and calendar year of birth 2,25 may confound the association between infection and CP. These factors have been shown to be associated with an increased risk of CP as well as being associated with increased risk of infections.…”

mentioning

confidence: 99%

Congenital cerebral palsy and prenatal exposure to self-reported maternal infections, fever, or smoking

Streja

Miller

Bech

et al. 2013

American Journal of Obstetrics and Gynecology

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OBJECTIVE-The objective of the study was to investigate the association between maternal self-reported infections, fever, and smoking in the prenatal period and the subsequent risk for congenital cerebral palsy (CP).STUDY DESIGN-We included the 81,066 mothers of singletons born between 1996 and 2003 who participated in the Danish National Birth Cohort. Children were followed up through December 2008. Information on maternal infections, fever, smoking, and other demographic and lifestyle factors during pregnancy were reported by mothers in computer-assisted telephone interviews in early and midgestation. We identified 139 CP cases including 121 cases of spastic CP (sCP) as confirmed by the Danish National Cerebral Palsy Register. Cox proportional hazards regression models were used to estimate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs). RESULTS-Self-reported vaginal infections were associated with an increased risk of CP and sCP (aHR, 1.52; 95% CI, 1.04-2.24; and aHR, 1.73; 95% CI, 1.16-2.60, respectively) and particularly untreated vaginal infections were associated with an increased risk of sCP (aHR, 1.95; 95% CI,. Fever was associated with the risk of CP (aHR, 1.53; 95% CI, 1.06-2.21). Smoking 10 or more cigarettes per day during pregnancy was also associated with sCP (aHR, 1.80; 95% CI, 1.10-2.94). There was a modest excess in risk for children exposed to both heavyThe views expressed herein are those of the authors are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.The authors report no conflict of interest.Reprints not available from the authors. CONCLUSION-Self-reported vaginal infections, fever, and smoking 10 or more cigarettes per day during pregnancy were associated with a higher risk of overall CP and/or sCP. HHS Public Access Keywordscongenital cerebral palsy; maternal infections; pregnancy; smoking Congenital cerebral palsy (CP) constitutes a group of permanent disorders of movement and posture causing activity limitation attributed to non-progressive disturbances that occurred in the developing fetal or infant brain. 1 CP is the most common physical developmental disability in childhood with a birth prevalence of 2 per 1000 live births in Denmark. 2,3 The incidence of CP increases with lower gestational age, up to 100 cases per 1000 births in extreme preterm cases (<28 weeks). 4,5 Improvements in perinatal care and neonatal survival in recent decades have increased the survival of children born preterm and therefore the number of CP cases. 4,6 Maternal fever 7,8 and maternal infections 9-11 have been associated with an increased risk of CP, irrespective of gestational age. Infections of the vagina or urinary tract during pregnancy have been of special interest because of their proximity to the fetus, but most studies have not clearly separated these infections. Self-reported data from questionnaires administered during pregnancy provide separation of each type of infection and more importan...

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Perinatal complications and socio-economic differences in cerebral palsy in Sweden – a national cohort study

Cited by 52 publications

References 14 publications

Depressão, ansiedade e sonolência diurna em cuidadores primários de crianças com paralisia cerebral

Depressão, ansiedade e sonolência diurna em cuidadores primários de crianças com paralisia cerebral

Children's health: Health in Sweden: The National Public Health Report 2012. Chapter 2

Congenital cerebral palsy and prenatal exposure to self-reported maternal infections, fever, or smoking

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