1. Special attention should be paid to the growth and development of high-risk births. The importance that parents and doctors attach to high-risk children is an important factor in being able to detect the disease early. The effect of high-risk factors on brain tissue can occur at any time from before fertilization of the egg cells to the neonatal period. Common high-risk factors include: parental smoking, alcohol and drug abuse, diabetes, gestational hypertension syndrome, placenta praevia, pre-eclampsia or use of birth control pills, drugs for infertility, birth control pills, etc.; high birth rate, high gestational rate, history of stillbirth, preterm birth, miscarriage, twin or multiple births, fetal growth retardation, intrauterine infection, intrauterine distress, placental abruption, placental dysfunction, emergency delivery, inappropriate assisted labor, forceps delivery, breech delivery, long labor, preterm or overdue delivery, low birth weight, postnatal asphyxia, hypoxic ischemic encephalopathy, nuclear jaundice or delayed jaundice, intracranial hemorrhage, head trauma, convulsions, infection, poisoning and malnutrition, etc.
2. Carefully observe the motor development and intellectual development of the child. As parents, we should be familiar with the characteristics of normal pediatric development and developmental patterns to detect problems in a timely manner, and those with the following conditions should seek medical attention in a timely manner.
(1) Neonatal period.
(1) Difficulty in breastfeeding. After birth, the baby will not suck, sucking is weak or refuses to suck, fatigue and weakness after sucking, often choking and spitting up, and the mouth cannot close well.
(2) The child is very quiet after birth, with weak or persistent crying.
(3) Little or no spontaneous movement or easy jerking, general flabbiness, muscle relaxation or general hardness, often scurrying out of the swaddling clothes.
(4) The child is easily startled: convulsions, screaming or irritability.
(2) Infants aged 1 to 3 months.
(1) Both hands make fists and the thumbs are clasped in the palms, or there is asymmetry in bilateral activity.
(2) Not paying attention to people, staring or following brightly colored objects. 3) Inability to hold the head upright or unstable head, shaking from side to side. 4) Inability to lift the head or turn the head to the side in prone position.
(3) 4 to 5 months old infants.
(1) Dull expression, inflexible eyes, non-responsive when teased, unable to laugh out loud, unable to raise both hands to their eyes while lying in bed, repeatedly playing with their hands.
(2) The head cannot be placed in the center in the supine position. The habit of turning to one side, and the face facing the side of the upper and lower limbs extended, the other side flexed.
(3) Does not turn over, does not raise his head high in prone position, and his chest does not leave the bed.
(4) Both hands do not grasp objects or one hand does not grasp objects.
(5) The whole body gradually becomes hard, the corns are inverted or the lower limbs are crossed. The legs are not easily separated and diaper changing is difficult.
(4) 6 to 7 months old infants.
(1) Will not eat hands or take objects into the mouth.
(2) The hand grasps objects inflexibly or releases them quickly.
(3) Will not sit and is tilted forward or backward.
(4) Abnormal postures such as dorsiflexion of the head, posterior extension of the shoulders, crossed lower extremities, pointed feet, inward turning of the feet, internal rotation of the upper extremities, and clenching of the hands.
In short, it is not difficult for parents to detect the abnormal movement and posture of the child if they observe carefully. If there are also abnormalities in the mother’s pregnancy, delivery and newborn period, they must be alert to the possibility of cerebral palsy in their child, and if necessary, take the child to a professional doctor for motor development and neurological examination to make a clear diagnosis so as not to miss the time and delay the whole life.