The Journal of Maternal-Fetal & Neonatal Medicine · 2010 · 327 citations · 28 references
MedicineMaternal HealthObstetricsHigh-risk PregnancyMaternal-fetal MedicineObstetric UltrasoundAntenatal AssessmentFetal Anomaly DetectionFetal AssessmentNeurodevelopmental DisordersPregnancyPrenatal AssessmentAntenatal Fetal TestingFour-dimensional Fetal UltrasoundFour-dimensional ImagingHand-to-mouth MovementsIsolated MovementPrenatal Congenital Anomaly AssessmentProspective Cohort DataScreening In High-risk Pregnancies
The study aimed to assess differences in fetal behavior between normal and high‑risk pregnancies. Four‑dimensional ultrasound was used to evaluate the Kurjak antenatal neurodevelopmental test (KANET) in a prospective longitudinal cohort over one year. KANET scores differed significantly between low‑ and high‑risk pregnancies, with abnormal scores most common in fetuses with siblings with cerebral palsy, borderline scores highest in mothers with fever, and multiple cranial and movement parameters distinguishing the groups, demonstrating KANET’s ability to discriminate normal, borderline, and abnormal fetal behavior.
To assess differences of fetal behavior in normal and high-risk pregnancies.In the 1-year period (1 January 2007-31 December 2007), four-dimensional ultrasound has been used to assess Kurjak antenatal neurodevelopmental test (KANET) in low- and high-risk pregnancies after randomization in prospective longitudinal cohort study. Based on the KANET scores, the fetuses were considered as normal (≥ 14 points), borderline (6-13), or abnormal (0-5).Comparison of KANET scores in low- and high-risk pregnancies were expectedly statistically significant. The largest incidence of fetuses with abnormal KANET was in the group of fetuses who had siblings with cerebral palsy. The largest incidence of the borderline KANET has been found in the group of fetuses whose mothers had fever during pregnancy. The following parameters of KANET test significantly differed between the fetuses from low- and high-risk pregnancies: overlapping cranial sutures, head circumference, isolated eye blinking, facial expressions, mouth movements, isolated hand movements, isolated leg movements, hand to face movement, finger movements, and general movements.KANET test has the potential to detect and discriminate normal from borderline and abnormal fetal behavior in normal and in high-risk pregnancies.
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