The Effects Multiple Births Have on Outcomes of Cerebral Palsy in Infants

According to the World Health Organization (WHO, 2016), preterm birth are the birth that happened before 37 ended weeks of pregnancy and is one of the number reason of newborn deaths and the second prominent cause of deaths in children below five. The preterm babies have chances of an amplified risk of illness, disability and death. In the first weeks, the complications of premature birth may include: breathing problems, heart problems, brain problems, temperature control problems, gastrointestinal problems, blood problems, metabolism problems, immune system problems. Long-term complications includes cerebral palsy, impaired cognitive skills, vision problem, hearing problems, dental problems, behavioral and psychological problems, chronic health issues.

Cerebral palsy refers to a group of chronic disorders that involve degrees of brain damage that affect body control and movement. The term cerebral refers to the brain, while palsy describes a disorder that impairs the control of body movement. These disorders are not the result of muscles or nerves problems. Instead, they are due to impaired motor areas in the brain that disrupt its ability to control movement and posture. The condition typically appears within the first few years of life and it is not marked by regression. (Mecham, 1986)

The human body is made up of many organ systems that consist of organs and tissues of different anatomies and diverse nomenclature. These organs systems, organs and tissues are prone to thousands of diseases, and one of these diseases is cerebral palsy, which is a disease of the nervous system in simple terms. Research relating to cerebral palsy is carried out, whereby the disorder is described, along with its history, and how it affects the nervous system and the brain. The anatomy of the body systems involves with regard to this disorder, the effects of the disorder on these body systems and other body systems are also researched and discussed. Furthermore, the research focuses on the causes of cerebral palsy, its complications, signs, and symptoms, and the diagnosis of the disorder, along with its treatment and side effects of the treatment. A recap of the research focusing on prevention strategies, the anatomy and physiology of cerebral palsy and the nervous system is presented.

Cerebral palsy is non-progressive but some effects of cerebral palsy on the body may change through life stages.

Defining premature birth is much more than just a denotative phrase. It is not just a preterm birth, or a baby born early. It is a life-changing event, and something that affects millions of people worldwide. The intense quiet room with heart monitors beeping, as parents see their baby and are devastated. Loved ones can not feed them or kiss them nor, can they not hold them or hug them. They do not get the same experience as others. Little miracles lay inside these cubes where multiple wires are help keeping them alive. A place where prayers happen, and where all hope for the best. Nobody knows the true pain and struggle behind a preterm birth and it needs to be discussed. Prematurity is a serious conflict; therefore, it needs more awareness as many families are facing this tough situation.

Premature birth is an important public health priority in terms of health of women and infants. Every year an estimated 15 million preterm babies are born and this number is still rising (WHO, 2015).In 2014, 1 of every 10 babies born in United States were premature and black infants were 50% more likely to be born premature than white, Hispanic and Asian/Pacific islander infants (CDC,2015). Almost 1 million children die each year due to complications of premature birth (WHO, 2015). Major survivors face lifelong disabilities like learning disabilities, hearing, visual, feeding, digestive, breathing and respiratory problems (CDC, 2015) and low birth weight (March of Dimes, 2014). A major challenge in decreasing the rate of preterm birth is

Infant deaths in the neonatal period are caused by complications arising from preterm births, birth defects, maternal health conditions, complications of labor and delivery, and lack of access to appropriate care at the time of delivery. Infant deaths in the post-neonatal period are driven by sudden unexpected infant death (SUID) (including sudden infant death syndrome [SIDS]), injury, and infection (MMRW, 2013). An increasing proportion of post-neonatal infant deaths occur among infants who were born preterm but survived the neonatal period (Callaghan, 2006). On the other hand there is lesser knowledge of the incidence and etilogy of fetal mortality which according to MacDorman et al, makes fetal mortality an overlooked public health issue. Lee et al, echoed the same idea when they said infant mortality has been the main focus of public health programming while fetal deaths have gone untargeted. However, with the decrease in infant mortality rates there have been recent approaches such as perinatal period of risk analysis framework (PPOR) that highlight the need to include fetal

Low birth weight (LBW), defined as an infant weighing less than 2500g at birth, and very low birth weight (VLBW), infants <1500g, are health outcomes that themselves are indicators of future health outcomes, as well as present and future morbidity and mortality risk (“Birth Outcomes,” 2017). A large component of these associated outcomes are neurobehavioral, manifesting as impaired cognitive and language development measured in childhood, as well as lower IQ, poorer academic achievement, and reduced executive function measured later on (Aarnoudse-Moens et al., 2009; Barre et al., 2011; Hack et al., 2002; Linsell et al., 2015; Litt et al., 2012). Although decreasing in prevalence, neurosensory impairments, such as cerebral palsy, blindness,

Preterm birth can be a devastating experience not only for the mother, but also for the child. This issue has plagued the United States and other countries for many years, and no concrete evidence have been found to tell us why preterm birth occurs. One in eight babies in the United States is born premature each year. The impact of social support on the psychological well-being, attitudes, and behavior of parents is rapidly becoming a major issue. It is becoming more and more difficult for mothers to cope with the long-term and short-term effects of premature birth. These parents’ attitude and behavior can have both a direct and indirect effect on the child's

Preterm birth (PTB), low birth weight (LBW), and intrauterine growth restriction (IGUR) are the leading causes of neonatal morbidity, mortality, and disabilities (Swamy, Ostbye, & Skjaerven, 2008; Wilson-Costello, Friedman, Minich, Fanaroff, & Hack, 2005). These poor birth outcomes are costly. In fact, in 2001 LBW and PTB hospital expenses in the United States were approximately $5.8 billion (Russell et al., 2007). Furthermore, they comprised 27% of pediatric stays and 47% of all infant hospitalization (Russell et al., 2007). When considering total cost, such as long-term expense of special education service and lost productivity, preterm birth is estimated to be $26.2 billion dollars (Behrman & Butler, 2007). While these poor birth outcomes have many causes, one method of prevention is to address the behavioral health of pregnant women.

The exact cause of preterm birth is not certain yet. A lot of mothers of premature babies feel terrible guilt and wonder many times what they did wrong and if they are to blame for their child being born too early. Babies are delivered before term for the baby’s safety, the mother’s safety or both. Many research studies provide evidence for risk factors for preterm birth such as substance abuse and physical abuse (Gauthier, 2015). Many studies are still being done on preterm birth with hope that in the next couple of

Pregnancy is a new stage in a woman’s life that can involve a number of complexities, which can affect the mother or baby, or both. Multiple birth is a complexity of pregnancy that is becoming increasingly more prevalent in today’s society. The incidence of multiple birth has a great effect on the mother and offspring, not only physically but also socially and emotionally. These effects include emotional instability as a result of child maltreatment, the increased risk of congenital malformation causing emotional and social problems and a wider social impact on the health care system.

For one, a developing fetus can suffer brain defects like spina bifida or anencephaly and may contribute to certain

Anencephaly occurs in 1.4-4.7/10,000 deliveries and is occurred due to a failed closure of the anterior neuropore at 24-26 days post fertilization. It is characterized by congenital absence of the major portion of brain, skull and scalp. As a result, the cranial neural tissue is exposed. Sometimes, some development of cerebral hemispheres can occur but this exposed tissue may be destructed because of hemorrhage. , it leads to nonfunctioning of the cerebrum. The etiology behind this condition is still unknown and it can diagnosed by various prenatal methods as simple as an ultrasound. The aim

Preterm Birth is one of the most important and interesting topics to any prospective parent. One of the reasons is because it happens so often and unexpectedly. Preterm Birth has become a personal interest in research simply because it has made a tremendous impact in my life. Having a Preterm Birth has taught me lots of things, such as, to grow as a person and as a mother, to see things from a different perspective, to get up, continue with my life, and perhaps to learn how to say “good bye” to a little one without even saying “hello.” For all the reasons above, there are some questions I would like to address: Why do preterm births happen and how can it be prevented? What kind of help is offered to parents and family members who go through the process of having a preterm birth? How effective and relevant is that help?