To the Question of the Role of the Maternal Factor in Neonatal Dacryocystitis

Abstract

Purpose. To study the characteristics of neonatal dacryocystitis, taking into account the state of health of their mothers and its possible impact on the development of neonatal dacryocystitis. Material and methods. A retrospective analysis of 724 outpatient medical records and case histories of children with neonatal dacryocystitis (868 eyes) and an assessment of the health status of their mothers were carried out. Results. It was found that children with neonatal dacryocystitis had concomitant somatic pathology in 11.6% of cases and congenital eye pathology in 2.3%. Among the somatic pathology, there were diseases of the respiratory and cardiovascular systems, disorders of the musculoskeletal system and lesions of the central nervous system, as well as other unexplained diseases. The burdened heredity according to neonatal dacryocystitis was found in 23.5% of children. Mothers of children with neonatal dacryocystitis suffered from somatic diseases in 14.4% of cases and gynecological pathology in 8.5% of cases. Sexually transmitted diseases were in 19.5% of mothers. Influenza or acute respiratory viral infection in the first trimester of pregnancy was suffered by 65.9% of mothers of children with DN. The pathological course of the first trimester of pregnancy was observed in 74.7% of mothers. Conclusion. The frequency of somatic, gynecological diseases, genital infections, influenza or acute respiratory viral infections during pregnancy, the pathological course of pregnancy in mothers of children with neonatal dacryocystitis, and somatic diseases in newborns, in addition to inflammation of the lacrimal sac, suggest the presence of the so-called, “maternal factor” – maternal health, contributing to the development, along with neonatal dacryocystitis, pathological clinical conditions due to possible intrauterine infection of the fetus, which corresponds to the infectious-inflammatory theory of development of neonatal dacryocystitis. Key words: children, maternal factor, inflammation of the lacrimal sac, neonatal dacryocystitis.