A case of severe combined pathology in a late premature infant with hypoxic-ischemic damage to the central nervous system

Abstract

A clinical observation of severe combined pathology in a late premature infant with hypoxic-ischemic damage to the central nervous system is presented. The extremely unfavorable effect of maternal pathology, in particular diabetes mellitus, on the intrauterine condition of the fetus has been demonstrated, which led to the birth of a premature baby, with the subsequent development of hypoxic-ischemic damage to the central nervous system, intraventricular non-traumatic hemorrhages, diabetic fetopathy, hyperbilirubinemia and the implementation of the infectious process. This case demonstrates that a late premature infant has a combined pathology, which is the basis for using a multidisciplinary approach in their management. Despite the fact that late premature newborns at the time of birth have anthropometric data comparable to full-term ones, they have higher morbidity rates in the early neonatal period. Neonatologists must be wary of this group of children in order to timely determine the scope of the complex of therapeutic measures.

Keywords

• late prematurity
• newborn
• perinatal damage to the central nervous system