Saratov JOURNAL of Medical and Scientific Research

newborns

Organization and work of the department of catamnesis of Clinical Perinatal Center of the Saratov region

Year: 2018, volume 14 Issue: №2 Pages: 226-223
Heading: Pediatrics Article type: Original article
Authors: Chernenkov Yu.V., Nechaev V.N.
Organization: Saratov State Medical University
Summary:

Objective: to examine the catamnesis of infants born with very low and extremely low birth weight, as well as undergoing critical conditions in the early neonatal period. To assess the health status of children observed, recommendations for further rehabilitation and prognosis. Material and Methods. At the department of catamnesis 4373 children were observed (total 21343 admissions), 62% of them were preterm infants. Children with extremely low body weight and very low body weight (157 patients, 20.3%) were evaluated for physical development, somatic and psychoneuro-logical status. Results. Analyzing the structure of morbidity observed in children hematologic violations are revealed in the form of anemia of prematurity moderate and severe degree in 15 patients (11.4%), slowing growth and development 25 (19.4%), respiratory disorders (19 children, 14.5%). In the assessment of physical development, growth disharmony revealed in 20.9%, weight disharmony in 29.4% of patients. Neuro-psychological development corresponded to the postconceptual age at 49.2% of children. Breastfeeding saved in 44.6%, mixed and in vitro were transferred in 55.4%. In a group of children follow-up observations identified numerous pathological conditions and high morbidity, requiring subsequent mandatory correction. Many of the children belong to the Group of infectious diseases patients (28.4%), with lots of somatic pathology (78.1%). A direct impact of the dynamics of body weight during the first months after birth was revealed in figures physical development of a child and the incidence in the future. The most vulnerable preterm infants from multiple pregnancies, small for gestational body weight deficiency which recovers slowly and have them marked lower psychomotor development. Conclusion. Improving rehabilitation technology, previously early steps, the integrated use of various methods and means, phases taking into accountthe stage of the disease process and individual approach to a child significantly improve the efficiency and effectiveness of rehabilitation therapy.

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A rare medical case in neonatal practice: congenital malformation and spontaneous rupture of the stomach wall

Year: 2015, volume 11 Issue: №2 Pages: 164-167
Heading: Pediatrics Article type: Case report
Authors: Chernenkov Yu.V., Lavrova D.B., Panina O.S., Prokopenko L.E., Larshina E.P., Shikhanova S.V., Belyaeva N.A.
Organization: Perinatal Centre, Saratov , Saratov Clinical Hospital № 8, Saratov State Medical University
Summary:

Congenital malformation is one of the most common causes of infant mortality. The Russian Healthcare Ministry has approved a wide range of measures to decrease the number of babies born with malformations. Due to the measures taken, prenatal diagnostics of such malformations as cardiac malformation, nervous system malformation, various space occupying lesions has become more effective. However, there is a number of malformations hardly detected until the birth. This problem also concerns some abnormalities of the gastrointestinal tract. One of such malformations "silent" during prenatal diagnostics is, particularly, focal aplasia of the stomach muscular layer. This work deals with the case of such malformation observed in a newborn baby.

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Estimation of health indicators of children born by means of application of reproductive technologies

Year: 2014, volume 10 Issue: №4 Pages: 683-688
Heading: Proceedings of all-Russia week of science with international participants Article type: Original article
Authors: Chernenkov Yu.V., Nechaev V.N., Stasova Yu.V.
Organization: Saratov State Medical University
Summary:

Objective: To examine health of children born by means of ART according to Perinatal Center of Saratov region for the last 2 years. Material and Methods: 70 pregnant women and 96 newborns with the use of ART were under examination. The causes of premature birth by women with ART, high degree of disease incidence among newborns and mortinatality are considered (рассматриваются) in the article. Results: The important factors of amnionic membranes breaking are distinguished: maternal age, multifetation, genital and extragenital pathology, antenatal infections and fetation anomaly. Highly premature babies cause not only high neonatal disease rate and disability, but also are key element in procreational loses. Women with congelated embryo transfer less often experience premature birth, also disease rate and neurologic abnormalities are less frequent. Two and more embryo transfer more often leads to habitual miscarriage. Conclusion: Mothers-to-children health indicators after using ART demonstrate the necessity of prenatal diagnostics improvement and taking measures in monitoring such women and newborns. High quality preimplantation preparation plays a major role in fetus pathology reduction. Prescriptions and counter indications to this procedure should be thoroughly evaluated; no more than 1-2 ova should be transferred.

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Clinical features of pneumocystic pneumonia in newborns

Year: 2012, volume 8 Issue: №4 Pages: 962-965
Heading: Pediatrics Article type: Original article
Authors: Bochkova L.G., Ayberman A.S., Gasanova T.A.
Organization: Saratov State Medical University
Summary:

The research goal is to study clinical features and incidence of pneumocystic pneumonia in newborns. The research methods: The research has included 227 newborns with pneumocystic pneumonia: 154 (67,8%) — premature, 64 (28,1 %) — mature with intrauterine growth retardation with body weight from 2232,0 up to 2840,0 gr., and 9 (3,9%) — mature without intrauterine growth retardation. The indication of Pneumocystiscarini has been carried out by means of immunofluorescence with «Pnevmocistofluoskril» polyclonal antibodies by ZAO Niarmedik+, as well as stained by Romanovsky Giemsa technique and by Toluidine Blue. Results: Clinical and microbiological aspects of pneumocystic pneumonia in newborns of different maturity have been studied. The frequency of pneumocystic infection agent separation during the neonatal period has been characterized. Conclusion: The received data have indicated the potential intrauterine agent transmission from mother to infant. The high risk of generalization of the given infection form in newborns has been observed. It has been pointed out that biotopes are the most relevant means in neonatal pneumocystosis diagnostics.

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Experience of prognosing of basic anthropometric indices in children at birth

Year: 2012, volume 8 Issue: №2 Pages: 288-292
Heading: Pediatrics Article type:
Authors: Ovodkova O.N., Ippolitova L.A., Chistotinova T.G., Pochatkov V.A.
Organization: Voronezh State Medical University n.a. N.N. Burdenko, Voronezh Regional Children’s Hospital №1
Summary:

The fetus of a man develops in difficult conditions of mutual relations, both with an organism of mother, and with environment, and consequently protection and strengthening of health of children should be carried out taking into account health of mother, the way of life, place of living, course of pregnancy and delivery. The research goal is to reveal the factors which are predictors of physical development of newborn children and drawing up of prognostic models of anthropometric indicators at birth. Materials and methods: Survey of 220 newborns born in time and their mothers has been conducted. The anthropometry has included measurement of body weight, length, head and breast circles in children at birth. Results: The analysis of somatic, infectious, obstetric and gynecologic incidence of mothers of studied children, and also the course of pregnancy and delivery has been carried out. Conclusion: According to the data physical development of newborn children has been influenced by a number of factors. During the research work the prognostic models have been determined allowing to define the factors influencing physical intrauterine development of a child.

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Physical development of newborns of Voronezh region over the last 25 years

Year: 2010, volume 6 Issue: №4 Pages: 811-814
Heading: Pediatrics Article type: Original article
Authors: Ovodkova O.N., Ippolitova L.I.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

Changes in physical sizes and appearance of the child are manifestations of clinical, biochemical, neurologic and physiological changes which take place in childhood. The aim of the research is a comparative analysis of indicators of physical development of 11 437 newborns from Voronezh and Voronezh region over the last 25 years. Four basic anthropometrical signs in newborns- body mass, body length, head circumference, breast circumference - have been studied. Obstetric-gynecologic analysis of mothers anamneses have been carried. It was established that indicators of physical development differ in Voronezh and Voronezh region. Also the interrelation between physical development of newborns and anthropometrical indicators of women has been determined. The seasonal tendency of indicators of head circumference has been revealed

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