Abstract
Research objective: to study the characteristics of the perinatal status and health indicators of preterm infants born to the term of gestation, depending on the gestational age. 73 preterm infants born to the term of gestation were examined. The observation group (n=21) is a “moderately prererm” with a median gestation period of 33 weeks (32; 34), a comparison group (n=52) — “late” prematurity with a median gestation period of 35 weeks (35; 36). The course of the antenatal, intranatal and neonatal period was evaluated. Results: Perinatal outcomes were determined by gestational age. Preterm infants classified as moderately preterm had more severe health outcomes with a high incidence of intranatal asphyxia, metabolic disadaptation, respiratory disorders, hypoxic intracranial hemorrhages, anemia. However, “late” preterm represent a high-risk group for adverse perinatal outcomes and no less attention to neonatology. Conclusion: The delay in intrauterine development in premature infants is due to a complex of unfavorable perinatal factors and is associated with a high incidence of clinical and metabolic disturbances of postnatal adaptation, neonatal diseases, whose nature is determined by gestational age.
Highlights
Цель исследования: изучение особенностей перинатального статуса и показателей здоровья недоношенных, рожденных малыми к сроку гестации, в зависимости от гестационного возраста
Research objective: to study the characteristics of the perinatal status and health indicators of preterm infants born to the term of gestation, depending on the gestational age. 73 preterm infants born to the term of gestation were examined
Perinatal outcomes were determined by gestational age
Summary
Цель исследования: изучение особенностей перинатального статуса и показателей здоровья недоношенных, рожденных малыми к сроку гестации, в зависимости от гестационного возраста. Задержка внутриутробного развития у недоношенных детей обусловлена комплексом неблагоприятных перинатальных факторов и ассоциирована с высокой частотой клинических и метаболических нарушений постнатальной адаптации, заболеваний в неонатальном периоде, характер которых определяется гестационным возрастом. Клинико-метаболический статус недоношенных, рожденных малыми к сроку гестации. Research objective: to study the characteristics of the perinatal status and health indicators of preterm infants born to the term of gestation, depending on the gestational age. Conclusion: The delay in intrauterine development in premature infants is due to a complex of unfavorable perinatal factors and is associated with a high incidence of clinical and metabolic disturbances of postnatal adaptation, neonatal diseases, whose nature is determined by gestational age. На сегодняшний день остается открытым вопрос о влиянии гестационного возраста на клинико-метаболические исходы задержки внутриутробного развития у недоношенных [7]. РОССИЙСКИЙ ВЕСТНИК ПЕРИНАТОЛОГИИ И ПЕДИАТРИИ, 2017; 62:(4) ROSSIYSKIY VESTNIK PERINATOLOGII I PEDIATRII, 2017; 62:(4)
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