Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 9 , ISSUE 1 ( January-March, 2015 ) > List of Articles

RESEARCH ARTICLE

KANET in Brazil: First Experience

Keywords : Fetal behavior,Four-dimensional ultrasound,KANET,Neurodevelopment prenatal assessment,Fetal central nervous system

Citation Information : KANET in Brazil: First Experience. Donald School J Ultrasound Obstet Gynecol 2015; 9 (1):1-5.

DOI: 10.5005/jp-journals-10009-1384

License: CC BY-NC 4.0

Published Online: 01-09-2015

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Objective

The goal of this pilot test is to compare Kurjak's antenatal neurological test (KANET) results between high and low-risk pregnancies and see the feasibility of using this test on a larger scale in Brazil.

Methods

We applied KANET test in high-risk (n = 17) and low-risk (n = 34) pregnancies and compared the results.

Results

There was a significant difference between groups of high-risk and low-risk pregnancies for all parameters in KANET score 2. For KANET score 0, 5 out of 8 parameters where significant different: isolated head anteflexion, cranial sutures and head circumference, isolated hand movement or hand to face movements, isolated leg movement and fingers movements. All abnormal KANET result came from high-risk pregnancies (17.6%). No low-risk pregnancies presented KANET score 0. Efficacy and effectiveness were not evaluated due to the imprecision inherent in data from small samples.

Conclusion

This successful preliminary study of KANET in Brazil showed important differences in fetal behavior between the low and high-risk pregnancies, and can be used as information of feasibility and identify modifications needed in the design of a larger testing study.

How to cite this article

Neto RM. KANET in Brazil: First Experience. Donald School J Ultrasound Obstet Gynecol 2015;9(1):1-5.


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  1. Brain development during fetal life: influences of the intra-uterine environment. Neursci Lett 2004;361:111-114.
  2. The neuropathology of schizophrenia. A critical review of the data and their interpretation. Brain 1999;122:593-624.
  3. Qualitative changes of spontaneous movements in fetus and preterm infant are a marker of neurological dysfunction. Early Hum Dev 1990;23:151-158.
  4. General movements: a window for early, identification of children at high-risk of developmental disorders. J Pediatr 2004;145:S12-S18.
  5. Which better predicts later outcome in full-term infants: Quality of general movements or neurological examination? Early Hum Dev 1997;50:71-85.
  6. Prechtl's method on the qualitative assessment of general movements in preterm, term and young infants. London: Mac Keith Press 2004.
  7. Prechtl's assessment of general movements: a diagnostic tool for the functional assessment of the young nervous system. Ment Retard Dev Disabil Res Rev 2005;11:61-67.
  8. Cerebral palsy and application of the international criteria for acute intrapartum hypoxia. Obstet Gynecol 2006;107:1357-1365.
  9. Neurosonography in the second half of fetal life: a neonatologist's point of view. J Perinat Med 2006;34:437-446.
  10. General movements in early infancy predict neuromotor development at 9-12 years of age. Dev Med Child Neurol 2005;47:731-738.
  11. Fetal habituation: another Pandora's box? Dev Med Child Neurol 1997;39:274-278.
  12. Assessment of fetal to neonatal behavioral continuity by 4D ultrasonography. Ultrasound Obstet Gynecol 2006;28:360.
  13. Are there behavioural states in the human fetus? Early Hum Dev 1982;6:177-195.
  14. Can brain impairment be detected by in utero behavioural patterns? Arch Dis Child 1993;69 (1 Spec No):3-8.
  15. Is neurological assessment of the fetus possible? Eur J Obstet Gynecol Reprod Biol 1997;75:81-84.
  16. Two-dimensional real-time ultrasound in the assessment of fetal activity in single and multiple pregnancies. Ultrasound Rev Obstet Gynecol 2004;4:37.
  17. Fetal yawning. Ultrasound Obstet Gynecol 1995;5:57.
  18. Neurobehavioral continuity from fetus to neonate. J Perinat Med 2011;39:171-177.
  19. Three-dimensional sonographic assessment of fetal behavior n the early second trimester of pregnancy. J Ultrasound Med 2011;20:1271-1275.
  20. Fetal eye movement assessed with real-time ultrasonography: are there rapid and slow eye movements? Am J Obstet Gynecol 1989;163:1480-1484.
  21. Normal standards of fetal behavior assessed by four-dimensional sonography. J Matern Fetal Neonatal Med 2006;19:707-721.
  22. New scoring system for fetal neurobehavior assessed by three and four-dimensional sonography. J Perinat Med 2008;36:73-81.
  23. Update of the Amiel-Tison neurological assessment for the term neonate or at 40 weeks corrected age. Pediatr Neurol 2002;27:196-212.
  24. Normal standards for fetal neurobehavioral developments—longitudinal quantification by four-dimensional sonography. J Perinat Med 2006;34:56-65.
  25. The potential of 4D sonography in the assessment of fetal neurobehavior: Multicentric study in high-risk pregnancies. J Perinat Med 2010;38(1):77-82.
  26. The comparison of fetal behavior in high-risk and normal pregnancies assessed by four-dimensional ultrasound. J Matern Fetal Neonatal Med 2010 Dec;23(12):1461-1467.
  27. The potential of 4D sonography in the assessment of fetal behavior in high-risk pregnancies. J Matern Fetal Neonatal Med 2011 Jul;24(7):948-954.
  28. An attempt to introduce neurological test for fetus based on 3D and 4D sonography. Donald School Journal of Ultrasound in Obstetrics and Gynecology 2008; 2:29-44.
  29. Further experience in the clinical assessment of fetal neurobehavior. Donald School J Ultrasound in Obstet and Gynecol 2010;4:59-71.
  30. Simplified ultrasound screening for fetal brain function based on behavioral pattern. Early Hum Dev 2007;83:177-1781.
  31. Postnatal neurological evaluation of a fetus and newborn from pregnancy complicated with IUGR and fetal hypoxemia. J Matern Fetal Neonatal Med 2011 May;24(5):764-767.
  32. Neurodevelopmental fetal assessment using KANET scoring system in low and high risk pregnancies. J Matern Fetal Neonatal Med 2013;26:363-368.
  33. The role of 4-D ultrasonography in prenatal assessment of fetal neurobehaviour and prediction of neurological outcome. J Matern Fetal Neonatal Med 2012;25:231-236.
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