Patient's question:
Motor development and intellectual delay. At 8 months, the child cannot hold their head steady upright, roll over, actively grasp objects, or locate sounds. Eye contact is poor, but there are no convulsions. There is thumb-inward deviation and low muscle tone. Since 6 months, the child sometimes stares blankly, fixates their eyes, is calm, does not cry or fuss, and exhibits abnormal emotions. These symptoms occur every 3 days, lasting 3-6 hours each time.Due to oligohydramnios and a two-week nuchal cord, a cesarean section was performed at 37 weeks. The child weighed 2100g at birth with an Apgar score of 7. They experienced mild asphyxia, hypoglycemia, and hypoxic-ischemic encephalopathy, which improved after treatment. After discharge, the child has a normal cry but struggles with feeding, easily chokes on milk, and vomits. They have had diarrhea since infancy when consuming greasy foods. The child could smile at 2 months, babbled at 3 months, and could track objects at 7 months.
Doctor's answer:
Analysis of the condition:Hello! Your condition should not be a manifestation caused by umbilical cord and hypoxia. It is more likely due to developmental issues during the fetal growth period.
Recommendations:
It is advisable to undergo a systematic examination and treatment observation at a local top-tier hospital. This condition is generally treated with neurotrophic drugs and combined rehabilitation therapy for observation.