Mumtaz Ali, Khalid Mehmood Khan, Bilal Khan, Ramzan Hussain, Mati Ullah Khan, Bakht Zar Khan.
Birth Venue In Patients With Cerebral Palsy.
J Postgrad Med Inst Jan ;30(4):314-7.

Objective: To determine the venue of birth in patients with cerebral palsy (CP). Methodology: It was a descriptive observational study conducted in the Out Patient Department (OPD) of Neurosurgery, Lady Reading Hospital, Peshawar, from January to July 2013. The age, sex and location was recorded from the parents of the CP child on a predesigned performa as well as the venue of delivery; whether home or hospital and/or delivered through caesarian section or normal vaginal delivery. Information about the birth asphyxia, seizures as well as preterm delivery was noted. Results: A total of 82 patients were included in this study including 57 males and 25 females with a male to female ratio of 2.4:1. The age of the patients ranged from 14 months to 14 years with a mean age of 4.73 ±3.35 years. Of the total 82 patients 59 were delivered either at hospital or the maternity center and 23 were delivered at home. In hospital delivered patients 5 patients were delivered through caesarian section where as 54 children through normal vaginal delivery. Birth asphyxia was present in 9(10.84%) of hospital delivered group whereas 3(3.61%) of patients delivered at home. 2(2.40%) patients were preterm in hospital delivered group and 4 (4.40%) in home delivered group. Conclusion: Most of the patients with the cerebral Palsy were delivered at hospital. The birth venue is not wholly responsible for the CP. There are more hospital deliveries compared to home deliveries.

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