ВЛИЯНИЕ ГЕСТАЦИОННОГО ВОЗРАСТА НОВОРОЖДЕННЫХ НА ТЕЧЕНИЕ НЕОНАТАЛЬНОГО ПЕРИОДА ПРИ АНОМАЛИЯХ ИНВАЗИИ ПЛАЦЕНТЫ

Abstract

Objective of the study: to determine the timing of optimal delivery and to identify the features of the course of the neonatal period in children from mothers with placental accreta. Materials and methods of research: the analysis of medical records of 140 children of mothers with placental accreta (main group) and 60 newborns of mothers without placental accreta (comparison group) of various gestational ages (GA), born in the period of 2014–2020, was carried out. The paper presents the results of a single-center retrospective non-randomized continuous comparative study. Results: the effect of GA on the length of the newborn's stay in the neonatal intensive care and intensive care units (ICU) and the hospital as a whole was confirmed. The dependence of the need for respiratory support in newborns on the gestational age was confirmed: with a decrease in GA, the need for respiratory support in newborns increases statistically significantly (p=0.0011), the need for traditional mechanical ventilation in newborns increases statistically significantly (p<0.001). When analyzing the frequency of occurrence of asphyxia, no statistically significant differences were found in the main group and in the comparison group. There were no statistically significant differences (p=0.229) in the body weight of newborns developing during pregnancy complicated by placenta previa compared with newborns born to mothers without a placental invasion anomalies. As a result of our study, there were no statistically significant differences in the length of stay in ICU and hospital for newborns of the same GA of the main group and the comparison group.