n South African Journal of Child Health - Cerebral palsy in SA : perinatal factors and later neurological handicap in infants born at or near term : editorial




It has been recognised in high-income countries for many years that most cases of cerebral palsy are not due to complications of labour and delivery. In a report published in 2004, Jacobsson and Hagberg concluded that 70 - 80% of cases of cerebral palsy were due to prenatal factors, whereas birth asphyxia accounted for <10% of cases. This was reiterated in a recent review by Nelson and Blair, who quoted other studies that have produced similar figures. However, these studies have been confined to high-income countries and are unlikely to be applicable to low- and middle-income countries (LMICs).


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