Effect of late-onset fetal growth restriction on organization of behavioral state in infants

Background The aim of this study was to analyze whether late‐onset fetal growth restriction (FGR) alters regulatory capability in infants, and whether this can be detected using both the neonatal behavior assessment scale (NBAS) and brainstem auditory‐evoked potentials (BAEP). Methods The diagnosis...

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Bibliographic Details
Published in:Pediatrics international 2015-10, Vol.57 (5), p.902-908
Main Authors: Aldrete-Cortez, Vania, Schnaas, Lourdes, Poblano, Adrián, Carrillo-Mora, Paul, Olivas-Peña, Efraín, Bello-Muñoz, Juan Carlos, Guzmán-Huerta, Mario, Mansilla-Olivares, Armando
Format: Article
Language:English
Subjects:
Adolescent
Adult
Babies
Behavior
brainstem auditory-evoked potential
Brazelton neonatal behavioral assessment scale
Cross-Sectional Studies
Evoked Potentials, Auditory, Brain Stem - physiology
Female
fetal growth restriction
Fetal Growth Retardation - diagnosis
Fetal Growth Retardation - epidemiology
Fetal Growth Retardation - psychology
Follow-Up Studies
Gestational Age
Human growth
Humans
Incidence
Infant Behavior
Infant, Newborn
Male
Mexico - epidemiology
Pediatrics
Pregnancy
Prenatal development
Retrospective Studies
self- regulation
Time Factors
Ultrasonography, Doppler
Ultrasonography, Prenatal
Young Adult
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Summary:Background The aim of this study was to analyze whether late‐onset fetal growth restriction (FGR) alters regulatory capability in infants, and whether this can be detected using both the neonatal behavior assessment scale (NBAS) and brainstem auditory‐evoked potentials (BAEP). Methods The diagnosis of FGR was made on Doppler examination in the third trimester of pregnancy. NBAS and BAEP measurement were performed at 1 month of corrected postnatal age. Results The group with late‐onset FGR was integrated with 17 infants and the control group consisted of 14 subjects. The NBAS range of state score, which reflects organization of behavioral state, was low in infants with late‐onset FGR. No differences were found in BAEP between groups. No association between NBAS and BAEP was detected. Conclusion Late‐onset FGR has a deleterious effect on NBAS range of state, but possibly does not alter BAEP response. It is proposed that regulatory capabilities in the neonatal period play a primary role in subtle cognitive difficulties in infants with late‐onset FGR in the long term.
ISSN:1328-8067
1442-200X
DOI:10.1111/ped.12628