Мать и дитя в Кузбассе (Jul 2017)
THE MAIN GENERAL HEALTH INDICATORS OF PRETERM NEWBORNS
Abstract
Objective – to determine the main health indicators in preterm newborns. Materials and Methods: Premature newborns and full-term newborns (160 and 1408, respectively) were investigated with clinical, instrumental, and statistical methods. Anthropometric parameters, somatic health, vulvar anatomy were considered to be the main criteria for general health. Results: The indicators of general health (physical development, somatic health, vulvar anatomy) in premature and full-term newborns were estimated. Anthropometric parameters (body weight, height, head and chest circumference) in preterm newborns were naturally lower compared to full-term newborns. However, the body weight of preterm infants matches the degree of prematurity and gestational age. Preterm newborns had more frequent intrauterine hypoxia of the fetus during pregnancy, and at birth – perinatal central nervous system injure, respiratory distress syndrome, aspiration syndrome, intrauterine infection, hemolytic disease of the newborn, transient hypoglycemia, high bilirubin blood disease, hypocalcemia, hypoconjugational jaundice, congenital conjunctivitis. Having studied the case records of the women with premature births, the high risk factors for the development of hypoxia in the fetus are established. These include chronic diseases of the reproductive organs, somatic diseases, complicated pregnancy and childbirth. The cumulative effect of these factors results in fetal hypoxia, and, as a consequence, the birth of children with physical immaturity, perinatal injures of the neurological areas. Conclusion: Miscarriage affects the neonatal health formation in the antenatal period and may contribute to manifestation of the pathology in the postnatal period.
