The impact of perinatal antecedents in the achievement of bronchopulmonary dysplasia in premature children

Abstract

Bronchopulmonary dysplasia (BPD) - chronic bronchopulmonary disease, determined by multifactorial causes in children born prematurely that evolves with broncho-obstructive syndrome, symptoms of respiratory insufficiency, pneumofibrosis.Methods. An analytical, cohort study of children with BPD was performed. Compared to preterm infants without BPD. Results. The study demonstrated that the gestational age at birth of children with BPD is lower veridically (p<0.00001) with values of 29.14±0.5 weeks compared to the gestational age at birth of children without BPD - 32, 6±0.5 weeks. The birth weight of premature babies with BPD is significantly (p<0.00001) lower (1358.15±85.2 gr) compared to premature babies without BPD (1983.3±109.9 gr). The birth height of premature babies with BPD (38.5±0.8 cm) is significantly lower (p<0.00001) compared to that of children without BPD (43.7±0.8 cm). Head circumference and chest circumference are also smaller in children with BPD. Apgar score in the first minute after birth and over 5 min. of children with BPD is significantly lower (p<0.0001) compared to the values of children without BPD. Conclusions: The study established that the average gestational age under 29.14 weeks, the average birth weight under 1358.15 g, the Apgar score under 5.54/6.46 for children born prematurely are perinatal factors with potential risk in the achievement of bronchopulmonary dysplasia at children born prematurely.