FEATURES OF THE PERINATAL PERIOD OF NEWBORNS WHO UNDERWENT ASPHYXIA IN SEMEY (REPUBLIC OF KAZAKHSTAN)

Abstract

Objective – to assess the health status of children born in the first year of life with asphyxia. Research strategy: a single. Stage retro-and prospective study was conducted. Main group, inclusion criteria: newborns born with asphyxia, unable to start or maintain normal independent breathing immediately after birth due to impaired oxygenation during labor and delivery; newborns with severe asphyxia (pulse at birth less than 100 beats/min, slow or steady, breathing is absent or difficult, skin is pale, muscles are atonic, Apgar score 0-3 points 1 minute after birth); newborns with moderate or moderate asphyxia (normal breathing within 1 minute after birth was not established, but the heart rate of 100 beats/min or more, slight muscle tone, slight response to irritation, Apgar score 4-7 points 1 minute after birth) – in the number of 76 children. Control group, inclusion criteria: newborns born without asphyxia, that is, are able to start or maintain normal independent breathing immediately after birth. The control group includes 165 newborns, in a ratio of 2 : 1 to the main group. Exclusion criteria: multiple pregnancies, birth defects incompatible with life, multiple pregnancies. Results. The threatening condition of the fetus (obstruction of labor) in the control group was 18.4 % (n = 14), in the main group it was 21.2 % (n = 35), which determines the timely implementation of necessary measures by an obstetrician-gynecologist. It also revealed the peculiarity of the acid-base state, the presence of decompensated metabolic acidosis in newborns who suffered asphyxia at birth, which exacerbates the severity of the condition and the perinatal outcome.

Keywords

• асфиксия
• новорожденные
• доношенные дети
• перинатальный период