Antenatal and Postnatal Prevention in Cerebral palsy
Are you aware of Cerebral palsy
Cerebral palsy (CP) is a motor disability (palsy) caused by a static, non-progressive lesion in the brain (cerebral), generally called as a neurological disorder. It generally occurs in early childhood. Cerebral palsy do not occurs due to any defect or problem in muscles or nerves, but it happens when mind loses the control over the body.Cerebral palsy occurs in a child due to injury during birth or before the birth that disturbs the normal development of the brain. Lack of oxygen reaching the fetus during labor and delivery contributes to a small minority of cases of cerebral palsy. Symptoms are usually seen in the first few months/life of life. It varies extremely from very mild motor effects to very severe motor disabilities with much Co-morbidity. The damage involves some parts of the brain as well, leading to deafness and other difficulties of perception. The birth of a spastic child is the fault of either parent if Rh –ve factor is not considered before planning a child. As the problem is of the brain, there is no direct injury to the limb.
Causes of Cerebral Palsy
- During Birth
- During Pregnancy
- Prenatal infections: Certain bacterial and viral infections can damage the baby during pregnancy. Untreated maternal infections can cause premature labor and delivery. The newborn may suffer from the consequences of brain damage from infection directly.
- Improper Dating of the Pregnancy: Failure to properly date the pregnancy may result in either premature delivery or post-mature delivery, both of which may be responsible for brain damage or cerebral palsy to the newborn baby.
- Rh Incompatibility: In this blood condition, the mother’s body produces immune cells called antibodies that destroy the fetus’s blood cells, leading to a form of jaundice in the newborn. Severe, untreated jaundice can damage brain cells.
Types of Cerebral Palsy
There are four types of cerebral palsy:
- Spastic cerebral palsy (difficult or stiff movement)
- Ataxic cerebral palsy (loss of depth perception and balance)
- Athetoid cerebral palsy (uncontrolled or involuntary movements)
- Mixed cerebral palsy (a mix of two or more of the above)
Preventive aspects during the antenatal period:
- The mother should not drink and smoke.
- Mothers should be vaccinated for diseases like chickenpox and rubella which can cause harm to the developing baby. (before pregnancy)
- Mothers should avoid coming in contact with teratogens such as cleaning products and pesticides that cause risk.
- The mother should be as good in health. If any health condition, they should be treated and controlled, so that baby is affected by any infection.
- The mother should avoid unnecessary exposure to X-rays, drugs, and medication.
- Mothers should get early and regular parental care, for the health of mothers as well as the developing baby’s health.
- The mother should eat and do the right exercises. If the mother stays healthy, the baby will born healthy.
- The mother should test blood compatibility to prevent a child from CP.
Natal and postnatal prevention:
- Be double sure that your baby is vaccinated against infections that can cause meningitis and encephalitis, including Homophilesinfluenza type B (HiB vaccine) and Streptococcus
- Parents should always buckle the kid while traveling by car.
- When the baby is born it can get jaundice easily. If the baby is not under the care, severe jaundice can cause brain damage.
- The living area should be safer for children to play.
- It will be better if the infections are detected earlier so that the treatment can be done quickly.
Prevention of Cerebral Palsy before pregnancy, during pregnancy, and after can reduce the risk of CP. Expectant parents and medical practitioners have to play important roles in the quest to reduce the chances of a child developing Cerebral Palsy.