Neonatal adaptive behavioral assessment in asphyxiated full-term newborn infants as measured by the Brazelton scale

Lily Rundjan, Hardiono D Pusponegoro, Alan R Tumbelaka

Research output: Contribution to journalArticlepeer-review

Abstract

Background Brazelton scale was designed to assess neonataladaptive behavior, a newborn infant’s ability to interact with environmental stimuli. It can be used as a screening tool to detect an infant’s deviant behavior.Objective To assess the adaptive behavior of asphyxiated full-term new born infants compared to that of non-asphyxiated newborns.Methods A cross sectional analytic study was conducted from March 2003 until March 2004. Subjects were allocated into two groups(non asphyxiated and asphyxiated infants) and enrolled consecutively. The evaluation was done twice, at the age of 3-7 days and 1 month. A p value of <0.05 was considered statistically significant.Results Forty eight newborn infants in each group were compared.There were no characteristic differences between the groups. At the first evaluation, non asphyxiated infants scored better on mo-tor (p=0.015), reflex (p=0.000), habituation (p=0.022), and social-interaction (p=0.020) than asphyxiated infants did. At the age of 1 month, motor (p<0.0001), reflex (p<0.0001), habituation(p<0.0001), state organization (p<0.0001), and social-interaction(p=0.045) were also better in non-asphyxiated infants.Conclusion Assesment by the Brazelton scale showed that the adaptive behavior of full-term asphyxiated newborn infants was different from that of non-asphyxiated infants
Original languageEnglish
Pages (from-to)234-238
JournalPaediatrica Indonesiana
Volume44
Issue number6
DOIs
Publication statusPublished - 2016

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