Risk factors of cerebral palsy among term baby attended at CRP: A case control study.

Abstract

Background: Cerebral palsy is one of the main disabilities in term born infants. The importance of studying cerebral palsy comes from the fact that this disorder imposes huge burden families, psychologically, emotionally, financially and socially. The risk factors of cerebral palsy among term baby have not been explored before in our country. Objective: To identify the risk factors of cerebral palsy among term baby attended at CRP. Methods: An unmatched case control study was performed in children with cerebral palsy born at term a case (n=30) and a control group (n= 30) those who were attended at CRP. The researcher used convenience sampling. The age range was 0-12 years. A structured questionnaire was introduced to all individuals’ mother with cerebral palsy and mother with normal child to identify the possible exposure to the risk factor. Odds ratio was calculated as a mode of association between disease and exposure. Result: The mean age of the child was 4years. A total 53% was male child and 46% female child. The main factors associated with cerebral palsy were h/o miscarriage [odds ratio (OR): 2.00; CI: 0.6187-6.46], birth injury [(OR): 12.42; CI: 1.44-105.74], birth asphyxia [(OR): 74.55; CI: 4.16-1335.5], jaundice & neonatal convulsion [(OR): 19.46; CI: 1.05-358.40]. Conclusion: This study came to conclusion that birth asphyxia, birth injury, hospital delivery and neonatal convulsion and jaundice were still the major risk factor in Bangladesh.