Özet:

Aim: To determine the neurological development and the relationship between neurological sequelae and perinatal risk factors in preterm babies followed in our unit. Methods: Neurological examination and Denver Developmental Screening Test II (DDST-II) was performed in 262 patients (143 mal e, 119 female) at a mean of 27 ± 8,6 months. SPSS for Windows program and chi- square test were used for statistical analysis. P values under 0.05 were accepted as statistically significant. Results: In this study no patients have taken respiratory support by mechanical ventilation because of neonatal intensive care unit conditions. Neurodevelopmental delay was detected in 25 (9.5%) cases. The most important problems were cerebral palsy (6.1%), speech delay (2%), isolated deafness (0.3%), retardation of fine motor movements (0.3%), and mild gross motor retardation (0.3%). When the relationship between perinatal risk factors and neuromotor retardation has been studied; the ratio was 14% for birhtweight less than 1500 g, 6% for preterms over 1500 gr (p=0.01), 14.9% for those gestational age less than 32 weeks, 4.4% for those gestational age greater than 32 weeks (p=0.02). The ratio of the relationship for the preterms with sepsis was (42%), and it was shown that sepsis, meningitis, and asphyxia were significantly related to neuromotor developmental delay (p<0.05). While 15%) of the patients with hyperbilirubinemia had neuromotor developmental delay, the ratio was 9.1%) for patients without hyperbilirubinemia (p=0.1). This result was statistically insignificant. If the patient didn't have any risk factors other than prematurity, the percentage of neuromotor developmental delay was 0.98%) (p=0.0002). Conclusioti: It is concluded that adeguate car e and follow up program s for preterms may improve the rate of survival without morbidity

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