Differentially diagnostic criteria for intratual and early neonatal pneumonia

Abstract

Aim. To differentiate clinical signs in intrauterine and early neonatal pneumonia.Materials and methods. The studies were carried out in the Maternity ward and the “Mother and Child” ward of the second stage of nursing of the State Institution “Istiklol” in Dushanbe. In total, a retrospective analysis of 260 newborn development records and medical records was carried out. Two groups were formed, group 1 consisted of 110 (42.3%) newborns with a confirmed diagnosis of intrauterine pneumonia, the second group - of 150 (57.6%) with early neonatal pneumonia. Statistical analysis of the material was performed using the Statistica 10.0 software package (StatSoft, USA).Results. According to the anamnesis, 45.7% of 1st group mothers had premature childbirth, while in the second group 37.3% of mothers. Among the mothers of group 1, real pregnancy was characterized (p> 0.05) by colpitis (76.9%), anemia (71.3%), threatened abortion (48.6%), chronic fetal hypoxia (57.4%), high frequency of premature rupture of amniotic fluid (34.6%), discoordination of labor (25.0%). Statistically significant (p <0.001) (40.6%) in children of the second group observed an increase in temperature (above 38°C). The majority of newborns with intrauterine pneumonia did not have the act of sucking - 74.8%, 32.2% of newborns (p <0.01) noted the absence of the act of swallowing. Dyspnea was observed in 97.7.5% of children with intrauterine pneumonia and 74.7% of children with early neonatal pneumonia, auxiliary muscles were involved in the breathing, and therefore 69.6% of newborns with intrauterine pneumonia and 76.3% with early neonatal pneumonia (p<0.05) needed respiratory support.Conclusion. The course and the type of complications of pregnancy in mothers with infected children were different. Differential diagnostic signs between intrauterine and early neonatal pneumonia were established.