Abstract
To assess the clinical and laboratory characteristics of an adaptation period in babies delivered by cesarean section in hypertensive women, a survey was conducted in 196 neonatal infants. Fetal growth restriction, Apgar scores, degree of asphyxia, and resuscitation needs were determined. Umbilical cord indicators, such as blood gas composition and acid-base balance in the umbilical artery and vein, were studied. The course of an early postnatal adaptation and the outcomes of an early neonatal period were analyzed. The newborn babies of hypertensive mothers were found to have lower gestational age at birth, lower weight and height, a higher incidence of fetal growth restriction, and failure of most organs and systems, which considerably hampered their postnatal adaptation. In the group of babies born to mothers with severe preeclampsia, impairment in early neonatal adaptation processes was more pronounced than in those of mothers with chronic hypertension.
Highlights
С целью оценки клинических и лабораторных особенностей течения периода адаптации у детей, родившихся путем кесарева сечения у женщин с гипертензивными расстройствами, проведено обследование 196 новорожденных
Features of early neonatal adaptation in infants born to mothers with hypertensive disorders of pregnancy
To assess the clinical and laboratory characteristics of an adaptation period in babies delivered by cesarean section in hypertensive women, a survey was conducted in 196 neonatal infants
Summary
С целью оценки клинических и лабораторных особенностей течения периода адаптации у детей, родившихся путем кесарева сечения у женщин с гипертензивными расстройствами, проведено обследование 196 новорожденных. Features of early neonatal adaptation in infants born to mothers with hypertensive disorders of pregnancy Установлено, что новорожденные дети от матерей с гипертензивными расстройствами имеют меньший гестационный возраст при рождении, меньшую массу и длину тела, более высокую частоту синдрома задержки развития плода, недостаточность большинства органов и систем, что значительно затрудняет их постнатальную адаптацию.
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