Neonatal adaptive behavioral assessment in asphyxiated full-term newborn infants as measured by the Brazelton scale

Rundjan L, Pusponegoro H, Tumbelaka A. (2016). Neonatal adaptive behavioral assessment in asphyxiated full-term newborn infants as measured by the Brazelton scale. Paediatrica Indonesiana [Internet]. 10Oct.2016 [cited 26Jan.2023];44(6):234-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/784

Abstract

Background: The Brazelton scale was designed to assess neonatal adaptive behavior, a newborn infant’s ability to interact with environmental stimuli. It can be used as a screening tool to detect an infant’s deviant behavior.
Objective: To assess the adaptive behavior of asphyxiated full-term newborn infants compared to that of non-asphyxiated newborns.
Methods: A cross sectional analytic study was conducted from March 2003 until March 2004. Subjects were allocated into two groups (non-asphyxiated and asphyxiated infants) and enrolled consecutively. The evaluation was done twice, at the age of 3-7 days and 1 month. A p value of <0.05 was considered statistically significant.
Results: Forty-eight newborn infants in each group were compared. There were no characteristic differences between the groups. At the first evaluation, non-asphyxiated infants scored better on motor (p=0.015), reflex (p=0.000), habituation (p=0.022), and social-interaction (p=0.020) than asphyxiated infants did. At the age of 1 month, motor (p<0.0001), reflex (p<0.0001), habituation (p<0.0001), state organization (p<0.0001), and social-interaction (p=0.045) were also better in non-asphyxiated infants.
Conclusion: Assessment by the Brazelton scale showed that the adaptive behavior of full-term asphyxiated newborn infants was different from that of non-asphyxiated infants