Title: Neuro Behavioral Outcome of Neonatal Hypothyroidism by Using Brazelton NBAS- A Cohort Study

Authors: Lalit Agrawal, Dr Sasmita Devi Agrawal, Satish Kumar Sethi, Asit Mohan Mohapatra, Hemant Agrawal

 DOI: https://dx.doi.org/10.18535/jmscr/v8i1.130

Abstract

Background and Objective: Neonatal hypothyroidism is associated with poor neuro behavioral outcome in neonates. Brazelton neurobehavioral assessment scale is good alternative to assess the neurobehavioral outcome of neonates at bedside.

Design: prospective cohort study.

Setting: Department of pediatrics, Hi tech medical College, Bhubaneswar.

Participants: 30 hypothyroid newborns were enrolled and followed up at 3-4 weeks of life. The neonates were represented the case neonates.30 euthyroid healthy newborns were selected as control group.

Main Outcome Measures: Early neonatal behavioral assessment at 3-4 weeks of age.

Results: Neonatal hypothyroidism leads to poor neurobehavioral outcome in newborn as already known and also by NBAS scoring. Early treatment has good outcome in terms of Neurrologicaland behavioural status of a newborn.

Conclusion: Neonatal hypothyroidism is associated with abnormal neurobehavioral development and Brazelton NBAS is good alternative for neurobehavioral assessment at bed side.

Keywords: Neonates, neurodevelopment, Brazelton neurobehavioral assessment scale.

References

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Corresponding Author

Dr Sasmita Devi Agrawal

Professor, Department of Pediatrics, Hitech Medical College & Hospital, Bhubaneswar, Odisha, India