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Trends in the Rates of Cerebral Palsy Associated with Neonatal Intensive Care of Preterm Children

HACK, MAUREEN MB, ChB; COSTELLO, DEANNE WILSON MD

Clinical Obstetrics & Gynecology: December 2008 - Volume 51 - Issue 4 - pp 763-774
doi: 10.1097/GRF.0b013e3181870922
Diagnosis, Prevention, and Treatment of Cerebral Palsy

Progressive changes in perinatal and neonatal intensive care of preterm infants since the late 1960s have led to an increase in survival and had an effect on the rates of neonatal morbidity, including brain injury, chronic lung disease, and sepsis. These have influenced the rates of neurodevelopmental impairment, including cerebral palsy. There was initially an increase in neonatal morbidity and rates of cerebral palsy associated with the increased survival of extremely low birth weight and low gestation infants. However, since the late 1990s and especially since the year 2000, the rates of neonatal morbidity have decreased with evidence of a decrease in the rates of cerebral palsy. Efforts to further decrease neonatal morbidity should continue to improve the outcomes of preterm children.

Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio

Correspondence: Dr Maureen Hack, MB, ChB, Rainbow Babies and Children's Hospital, University Hospitals of Cleveland Case Medical Center, 11,100 Euclid Ave, Cleveland, OH 44106. E-mail: mxh7@case.edu

© 2008 Lippincott Williams & Wilkins, Inc.