RUNNING TITLE: INFLUÊNCIA DA AVALIAÇÃO NEUROLÓGICA SERIADA E SEUS REFLEXOS NO PROGNÓSTICO FUNCIONAL DE RECÉM-NASCIDOS A TERMO COM ASFIXIA PERINATAL

Abstract

Objective: To compare the clinical outcome of term infants with moderate and severe perinatal asphyxia (PA), that underwent a neurological neonatal serial evaluation protocol during hospital stay, and clinical outcome of those not subject to the evaluation protocol. Method: This is an epidemiological study of 112 full-term newborn, admitted to the neonatal intensive care unit (NICU) of the Maternity Nossa Senhora de Lourdes, in Aracaju (Se). The monitoring of these infants occurred during the hospital stay and follow-up clinic. We sought to investigate the clinical course of children, the length of stay in hospital and delay presence in the development of neuromotor skills. Results: The intervention group showed a median of less hospital stay (p <0.001) than the control group and a prevalence of late significantly lower neuromotor development (p = 0.05) than the control group. Newborn underwent neurological evaluation protocol had a hospital evolution earlier than non-submitted. Conclusion: Newborn underwent serial neurological evaluation protocol had a hospital evolution earlier than non-submitted. The delay frequency neuromotor development was higher in the control group, not being perceived that unfavorable developments in the intervention group.