Abstract
A total of 371 newborn infants falling into 3 groups, non-haemolytic jaundice, haemolytic jaundice, and non-jaundiced controls, have been reassessed in the 6th year of life as regards neurological, audiological, and psychological function. Neurological handicap was concentrated among the infants of low birth weight and was not related to jaundice, apart from one case of athetoid cerebral palsy with deafness. No other cases of perceptive deafness were discovered. Intelligence testing on the Stanford Binet scale showed no relation between depth of jaundice and I.Q.
These findings support the majority of reports in the literature that reduction in intelligence does not occur in non-haemolytic jaundiced babies with serum bilirubin below about 20 mg./100 ml. In haemolytic jaundice slight doubt remains. There is no indication for changing present standards for exchange transfusion.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Boggs T. R., Jr, Hardy J. B., Frazier T. M. Correlation of neonatal serum total bilirubin concentrations and developmental status at age eight months. A preliminary report from the collaborative project. J Pediatr. 1967 Oct;71(4):553–560. doi: 10.1016/s0022-3476(67)80107-0. [DOI] [PubMed] [Google Scholar]
- DAY R., HAINES M. S. Intelligence quotients of children recovered from erythroblastosis fetalis since the introduction of exchange transfusion. Pediatrics. 1954 Apr;13(4):333–338. [PubMed] [Google Scholar]
- GERRARD J. Kernicterus. Brain. 1952 Dec;75(4):526–570. doi: 10.1093/brain/75.4.526. [DOI] [PubMed] [Google Scholar]
- Holmes G. E., Miller J. B., Smith E. E. Neonatal bilirubinemia in production of long-term neurological deficits. Am J Dis Child. 1968 Jul;116(1):37–43. doi: 10.1001/archpedi.1968.02100020039005. [DOI] [PubMed] [Google Scholar]
- Johnston W. H., Angara V., Baumal R., Hawke W. A., Johnson R. H., Keet S., Wood M. Erythroblastosis fetalis and hyperbilirubinemia. A five-year follow-up with neurological, psychological, and audiological evaluation. Pediatrics. 1967 Jan;39(1):88–92. [PubMed] [Google Scholar]
- Odell G. B., Storey G. N., Rosenberg L. A. Studies in kernicterus. 3. The saturation of serum proteins with bilirubin during neonatal life and its relationship to brain damage at five years. J Pediatr. 1970 Jan;76(1):12–21. doi: 10.1016/s0022-3476(70)80124-x. [DOI] [PubMed] [Google Scholar]
- Ose T., Tsuruhara T., Araki M., Hanaoka T., Bush O. B., Jr Follow-up study of exchange transfusion for hyperbilirubinemia in infants in Japan. Pediatrics. 1967 Aug;40(2):196–201. [PubMed] [Google Scholar]
- STERN L., DENTON R. L. KERNICTERUS IN SMALL PREMATURE INFANTS. Pediatrics. 1965 Mar;35:483–485. [PubMed] [Google Scholar]
- Stewart R. R., Walker W., Savage R. D. A developmental study of cognitive and personality characteristics associated with haemolytic disease of the newborn. Dev Med Child Neurol. 1970 Feb;12(1):16–26. doi: 10.1111/j.1469-8749.1970.tb01854.x. [DOI] [PubMed] [Google Scholar]
- VANCAMP D. PSYCHOLOGICAL EVALUATION OF CHILDREN WHO HAD NEONATAL HYPERBILIRUBINEMIA. Am J Ment Defic. 1964 May;68:803–806. [PubMed] [Google Scholar]
- VUCHOVICH D. M., HAIMOWITZ N., BOWERS N. D., COSBEY J., HSIA D. Y. THE INFLUENCE OF SERUM BILIRUBIN LEVELS UPON THE ULTIMATE DEVELOPMENT OF LOW BIRTHWEIGHT INFANTS. J Ment Defic Res. 1965 Mar;9:51–60. doi: 10.1111/j.1365-2788.1965.tb00820.x. [DOI] [PubMed] [Google Scholar]
- WOOD B. S., CULLEY P. E., WATERHOUSE J. A., POWELL D. J. Factors influencing neonatal jaundice. Arch Dis Child. 1962 Aug;37:371–377. doi: 10.1136/adc.37.194.371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Waltman R., Nigrin G., Bonura F., Pipat C. Ethanol in prevention of hyperbilirubinaemia in the newborn. A controlled trial. Lancet. 1969 Dec 13;2(7633):1265–1267. doi: 10.1016/s0140-6736(69)90805-8. [DOI] [PubMed] [Google Scholar]