Abstract
Objective To investigate the predicative value of neonatal behavioral neurological assessment(NBNA) on prognosis evaluation of full-term neonates born small for gestational age(SGA).Methods One hundred and thirty-six full-term neonates born SGA and one hundred and twenty full-term healthy neonates born appropriate for gestational age (AGA) were evaluated using NBNA at the seventh day after birth.All infants were followed up untill 12 months old and assessment was made according to the Bayley Scales of Infant Development(BSID).Results The abnormal ratio of NBNA score(≤35) in the full-term neonates born SGA group was obviously higher than that in the full-term healthy neonates born AGA group.When 136 full-term neonates born SGA were followed up untill 12 months old,the incidence of mental development index ( M DI) ≤69 and psychomotor development index (PDI) ≤ 69 in the infants with NBNA score ≤35 were significantly higher than those in the infants with NBNA score ＞ 35 (P ＜ 0.05).MDI and PDI in the full-term healthy neonates born AGA group were all above 69.Condusions The NBNA score can provide valuable reference for prognosis evaluation of full-term neonates born SGA and clinical evidence for early intervention to reduce disability. Key words: Neonatal behavioral neurological assessment; Full-term neonate; Small for gestational age; Prognosis
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