Ploegstra Wieteke M, Bos Arend F, de Vries Nathalie K S
Department of Paediatrics, Division of Neonatology, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, The Netherlands.
Department of Paediatrics, Division of Neonatology, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, The Netherlands.
Early Hum Dev. 2014 Jan;90(1):55-60. doi: 10.1016/j.earlhumdev.2013.10.004. Epub 2013 Nov 11.
The quality of general movements (GMs) is a widely used criterion to assess neurological dysfunction in young infants. It is unknown, however, whether the birth process influences the motor repertoire of healthy full term infants during the first week after birth.
To assess the quality of GMs and to determine the motor optimality score (OS) in healthy full term infants during the first week after birth and to evaluate the influence of the mode of delivery on GM quality.
Thirty-three healthy full term infants born either vaginally or after caesarean section (CS) under spinal anaesthesia were video recorded in the first week after birth in order to assess GM quality and to determine OS with Prechtl's method.
Abnormal GMs were observed mainly on the early recordings: 86% on the day of birth (day 0), 94% on day 1, and 68% on day 2. On days 5 to 7 (day 5-7) all GMs were normal (P<.001). The OSs increased significantly from median 12 on day 0 to 18 on day 5-7 (P<.001). Monotonously slow movements were frequently seen during the first days but not on day 5-7 (P<.001). GM quality and OS did not differ between infants born by vaginal delivery or after CS under spinal anaesthesia.
Healthy full term infants often showed abnormal GM quality and lower OSs during the first week after birth, irrespective of the mode of delivery. GM quality normalised during subsequent days and was normal on day 5-7.
全身运动（GMs）质量是评估婴幼儿神经功能障碍的一项广泛应用的标准。然而，尚不清楚分娩过程是否会影响健康足月儿出生后第一周的运动技能。
评估健康足月儿出生后第一周的GMs质量并确定运动最优性评分（OS），同时评估分娩方式对GMs质量的影响。
对33名经阴道分娩或在脊髓麻醉下剖宫产出生的健康足月儿在出生后第一周进行录像，以便用普雷茨尔方法评估GMs质量并确定OS。
异常GMs主要出现在早期记录中：出生当天（第0天）为86%，第1天为94%，第2天为68%。在第5至7天（第5 - 7天），所有GMs均正常（P<0.001）。OS从第0天的中位数12显著增加到第5 - 7天的18（P<0.001）。在出生后的头几天经常出现单调缓慢的运动，但在第5 - 7天没有（P<0.001）。经阴道分娩或脊髓麻醉下剖宫产出生的婴儿之间，GMs质量和OS没有差异。
健康足月儿出生后第一周通常表现出异常的GMs质量和较低的OS，与分娩方式无关。GMs质量在随后几天恢复正常，在第5 - 7天为正常。
