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Forum Name: Pediatric Topics

Question: Perinatal Encephalopathy


 twotonies - Mon May 02, 2005 2:21 pm

My husband and I are in the process of adopting a child from Russia. We have received a medical report which states "perinatal encephalopathy". She is a carrier of antibodies of Hepatitis C, and is being serologically monitored for congenital syphilis. What is the prognosis? I would greatly appreciate your reviewing the report, which I can fax to you.
 Dr. Heba Ismail - Fri May 06, 2005 5:00 am

'Perinatal encephalopathy' indicates an insult during the perinatal period (pregnancy, labour, or immediately after delivery) resulting in compromised blood and/or oxygen supply to the baby's brain. This could have serious effects on a child's neurological development, but it may also result in minor effects which could pass unnoticed. Some children escape all side effects and grow normally.
As for hepatitis C infection, if proven, it could seriously affect the liver, although very slowly, and is also infectious, through contact with body secretions or blood.
If the child has congenital syphilis and the maternal status is unknown, the child will need to be treated as if infected, untill lab follow up proves whether she is infected or was just carrying her mother's antibodies.

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