Document Detail

Neurodevelopmental fetal assessment using KANET scoring system in low and high risk pregnancies.
MedLine Citation:
PMID:  23211123     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess and compare fetal behavior and neurodevelopment (KANET) between low and high risk pregnancies.
METHODS: Prospective, comparative, cohort study. One hundred and fifty-two consecutive pregnant women presenting for routine 2nd trimester and 3rd trimester scan had four dimensional ultrasound examinations (4D US) in order to assess fetal behavior and neurodevelopment. This was achieved by the study of: (1) isolated head movements, (2) isolated hand movements, (3) isolated leg movements, (4) cranial sutures, (5) hand to face/head movements, (6) finger movements, (7) yawning - mouthing, (8) facial expressions, (9) isolated eye blinking, (10) "Gestalt" perception. According to the maternal background risk, the population of the study was classified in low risk pregnancies (n = 78) and high risk pregnancies (n = 74) with IUGR fetuses (n = 12), diabetes mellitus (n = 24), and pre-eclampsia (n = 38).
RESULTS: The neurodevelopmental score was statistically significant higher in the low risk group compared to the high risk group (p < 0.0004). The diabetes subgroup score was statistically significantly higher compared to the IUGR and the pre-eclampsia subgroup (p = 0.0001).
CONCLUSIONS: The neurodevelopment fetal assessment by 4D ultrasound appears to be a feasible technique in the evaluation of high risk pregnancies. Further studies where any association between KANET score and neurological outcome of the childhood are warranted.
Apostolos P Athanasiadis; Themistoklis Mikos; George P Tambakoudis; Theodoros D Theodoridis; Maria Papastergiou; Efstratios Assimakopoulos; Basil C Tarlatzis
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  26     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-06     Completed Date:  2013-07-22     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  363-8     Citation Subset:  IM    
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MeSH Terms
Cohort Studies
Eye Movements
Facial Expression
Fetal Development*
Fetal Growth Retardation / physiopathology
Fetal Movement
Gestational Age
Nervous System / embryology*
Pre-Eclampsia / physiopathology
Pregnancy in Diabetics / physiopathology
Pregnancy, High-Risk*
Prospective Studies
Ultrasonography, Prenatal / methods

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