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Methodology: It was a descriptive observational study conducted in the Out
Patient Department (OPD) of Neurosurgery, Lady Reading Hospital, Peshawar,
from January to July 2013. The age, sex and location was recorded from the
parents of the CP child on a predesigned performa as well as the venue of delivery;
whether home or hospital and/or delivered through caesarian section
or normal vaginal delivery. Information about the birth asphyxia, seizures as
well as preterm delivery was noted.
Results: A total of 82 patients were included in this study including 57 males
and 25 females with a male to female ratio of 2.4:1. The age of the patients
ranged from 14 months to 14 years with a mean age of 4.73 ±3.35 years. Of
the total 82 patients 59 were delivered either at hospital or the maternity
center and 23 were delivered at home. In hospital delivered patients 5 patients
were delivered through caesarian section where as 54 children through
normal vaginal delivery. Birth asphyxia was present in 9(10.84%) of hospital
delivered group whereas 3(3.61%) of patients delivered at home. 2(2.40%)
patients were preterm in hospital delivered group and 4 (4.40%) in home delivered
Conclusion: Most of the patients with the cerebral Palsy were delivered at
hospital. The birth venue is not wholly responsible for the CP. There are more
hospital deliveries compared to home deliveries.
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