Psychomotor Development in the Offspring of Epileptic Mother:Significance of Environment in Child Care
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Psychomotor development of 45 children of epileptic mothers exposed to antiepileptic druigs during pregnancy, was prospectively studied. The performances of these exposed children (E-group) were compared with those of 55 control children (C-group) of nonepileptic mothers. All children were tested by the same examiner using ENJOHJI's development test which consist of 6 fields namely motor ability (body movement, hand movement), social ability (fundamental habit, human relationship) and linguistic ability (speech, language understanding). The children and their mothers were also psychiatrically evaluated. Each of the E-and the C-group was divided into two sub-groups by their ages at the times examination. The y-group was those whose age were up to 24M and the o-group was these age were over 24 through 53 M.<BR>A retarded psychomotor development was more often encountered in children born to mothers with partial epilepsy rather than those with generalized epilepsy.<BR>There was a negative correlation between drug score an the DQ score in the field of language understanding in the y-group but not in the o-group. Head circumference of infant at birth was significantly correlated with the development of speech in the y-group of the E-group.<BR>Educational background of the mother significantly affected the psychomotor development of her child, and low DQ scores were obtained in more parameters in older children rather than in younger children.<BR>These results may suggest that the adverse effects of antiepileptic drugs matter more at a younger age, but later on, the environment of child's care is more important for the psychmotor development of the children. This, in turn, suggests that offsprings of epileptic mothers can developnormally provided that they were treated properly.
- 一般社団法人 日本てんかん学会の論文
一般社団法人 日本てんかん学会 | 論文
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