Features of the Early Adaptation Period of Newborns with Hypoxic-Ischemic Encephalopathy Depending on Birth Weight

Abstract

In the department of neonatal pathology of Chernivtsi regional children’s clinical hospital, 41 full-term newborns with hypoxic-ischemic encephalopathy have been exa­mined in order to study the features of early period of their adaptation depending on birth weight. It was found that the early adaptation period of full-term newborns with hypoxi­­c-ischemic encephalopathy and body weight adequate in terms of gestational age was characterized by: pathological deli­very in one third (32.1 %) of cases and the birth of one fourth (25 %) of infants with tight nuchal cord that three times more often (22.2 % of neonates) led to severe asphyxia, associated with the development of the multiple organ failure (14.3 % of cases) and seizures (17.9 % of observations). Full-term children with hypoxic-ischemic encephalopathy and body weight low in terms of gestational age are characterized by: lower gestational age (37–39 weeks) at birth (84.6 % of children), which has been associated with young (under 20 years) age of mothers in 15.4 % of cases, and twice as likely (61.5 % of children) led to respiratory disorders at birth, requiring artificial lung ventilation.

Keywords

• full-term newborns
• hypoxic-ischemic encephalopathy
• body weight low in terms of gestational age
• early ada­ptation period.