COMPORTAMENTO MOTOR DE LACTENTES EXPOSTOS AO VÍRUS SARS-CoV2 NA GESTAÇÃO

• Ano de defesa: 2023
• Autor(a) principal: AMANDA DE OLIVEIRA ARGUELHO
• Orientador(a): Daniele de Almeida Soares Marangoni
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Fundação Universidade Federal de Mato Grosso do Sul
• País: Brasil
• Palavras-chave em Português: COVID-19; LACTENTES; HABILIDADES MOTORAS; TELEMEDICINA; DISTÚRBIOS DO NEURODESENVOLVIMENTO.
• Link de acesso: https://repositorio.ufms.br/handle/123456789/6661

Infection with SARS-CoV-2 in the prenatal period may be a risk factor for impaired child development. Considering the natural control process of the central nervous system and the harmful potential of the coronavirus, it is necessary to investigate the level of impairment of exposed infants. The objective of this research was to verify the motor performance of infants exposed to the SARS-CoV-2 virus during pregnancy during a fourth and fifth pandemic wave. This is an exploratory observational study with a nonprobabilistic initiation. We included 35 infants, aged between 0 and 18 months, of both sexes who were exposed to SARS-CoV-2 during pregnancy. In order to meet the specific objectives, two methodological excerpts were received: Study 1 deserved the feasibility of applying AIMS by telemedicine in infants exposed to COVID-19 and described the motor performance of these infants. Study 2 examined the neuromotor behavior of infants exposed in utero to SARS-CoV-2 through the GMA and HINE, instruments considered the gold standard for the early identification of neuromotor alterations in infants. The results of the studies indicate that the majority (68.57%) of the pregnant women were infected in the third trimester of pregnancy and presented mild symptoms (45.71%). In study 1, 20 infants were evaluated and it was demonstrated that the use of AIMS via video call proved to be reliable (ICC = 0.986) to evaluate infants exposed to gestational infection by SARS-CoV-2; however, the exposure was not enough to affect the infants' motor performance. In study 2, 15 infants were evaluated and it was demonstrated that although infants exposed to SARS-CoV-2 during pregnancy may present neuromotor abnormalities at 3-4 months post-term, they may be transient, evolving to a low risk of infant impairment in the 6th month. It is expected that the results of this study can contribute to the elucidation of the capacity of neuromotor impairment of SARS-CoV-2 during pregnancy