Diagnósticos neurológicos en los informes médicos preadoptivos de Rusia

Abstract

Russia is the second country of origin of the adopted foreign children in Spain. The Russian preadoptive medical records offer a little and confused information.In a series of preadoptive medical records from Russia to analyze the emitted neurological diagnoses in the newborn period and its relation with perinatal data and formulated neurological diagnoses to the date of its elaboration.Seventy-two records submitted to a consultant from August 1999 to August 2003 were reviewed. Demographic, perinatal data and neurological diagnoses were compiled, making comparative statistical study.The mean age (SD) of the children (86.1% male) was of 21.5 (12.1) months. All the analyzed perinatal data were described in only 15.3% of the records. The number of neurological diagnoses in the newborn period was higher when histories of Apgar score < or =6-7 (1.7:1), 'perinatal encephalopathy of hypoxic, ischemic and/or traumatic origin' (1.6:1), maternal health problem during the gestation (1.3:1), gestational age < or =37 weeks (1.2:1), intrauterine growth delay and/or low weight (1.2:1) were described, and when diagnoses of psychomotor development delay (1.6:1) and microcephaly (1.2:1) to the emission of the report were formulated, although statistically significant differences were not observed.Evaluation of the preadoptive medical report is not sufficient to value the physical and mental health of the Russian children. In order to diminish the risk it is necessary to form to the future parents concerning the medical data of interest that they must obtain and the video characteristics that they must make, to be able to value with greater guarantee the physical, neurosensorial and maturative development of the assigned child.