Dynamics of neonatal morbidity in children with large body weight

Abstract

Preservation of the health of each child is the basis of the activities of the service for protection of motherhood and childhood. The article presents the results of analysis of the structure of births by body weight. A retrospective analysis of the incidence of full-term children with large (4000 g or more) body weight at birth in Minsk for the period 2004–2019 was carried out according to state statistics. It was revealed that the average proportion value of large newborns was 10.1 ± 0.07 %. During the analyzed period, the incidence rate of newborns with a birth weight of 4000 g or more decreased (278.4 ‰ in 2004, 177.8 ‰ in 2019, the average long-term growth rate was ‒2.95 %). When analyzing the morbidity structure of newborns, the leading place was occupied by individual conditions that occur in the perinatal period, 87.2 ± 0.80 %. In the analyzed time interval of 2004–2019, diseases with the highest degree of association with biggest birth weight were other birth trauma (OR = 2.30 (2.19–2.43), p < 0.001), endocrine and metabolic disorders (OR = 2.19 (2.04–2.34), p < 0.001).