Saratov JOURNAL of Medical and Scientific Research

Panina O.S.

Saratov State Medical University n.a. V. I. Razumovsky, Department of Hospital Pediatrics and Neonatology, Assistant Professor, Candidate of Medical Sciences

Inadequate motivation for maternity is the risk factor for a perinatal fetus pathology and a newborn

Year: 2017, volume 13 Issue: №4 Pages: 857-859
Heading: Sociology of Medicine Article type: Short message
Authors: Panina O.S., Privalova I.V., Chernenkov Yu.V., Pozgaleva N.V., Cherednikova E.N.
Organization: Saratov State Medical University
Summary:

One of the important social risk factors for the birth of a child with pathology in our time is tobacco smoking, with both mother and father. Goal: assess the formation of motivation for motherhood by questioning women with tobacco. Material and Methods. To carry out the research, we used the "Methods of Investigating Motives for Preserving Pregnancy" according to L. N. Rabovalyuk, N.A. Kravtsovoy; methodology "Motives for the conception of a child" by OA. Urusova. Results. When analyzing the results using the method "Motives for conceiving a child" (OA Urusova), in 45.7% of the women studied, an inadequate type of motivation for motherhood was revealed. An unconstructive motive is the high desire of the subject to have a being that will embody her unrealized dreams and plans. 54.3% of mothers, as the predominant type, have an adequate type of motivation for maternity. In addition, the motives for responsibility for the life of the child, the joy of motherhood, the awareness of the child's own values, the desire to have it for the sake of positive life goals and himself are revealed. Conclusion. Timely detection of inadequate motivation for motherhood and proper prioritization will reduce the percentage of pathological pregnancy, increase the birth rate of healthy newborns.

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Risk factors for the development of necrotizing enterocolitis in newborns

Year: 2017, volume 13 Issue: №3 Pages: 495-498
Heading: Pediatrics Article type: Original article
Authors: Mezhlunyan А.А., Panina O.S., Pozgaleva N.V.
Organization: Saratov State Medical University
Summary:

The goal is to analyze the various risk factors for necrotizing enterocolitis (NEC) in newborn infants of different gestational age. Material and Methods. A retrospective analysis of medical records (forms 096/y, 097/y)for2011-2015 was conducted. 20 pairs "mother— newborn". The criterion for inclusion in the analysis was the presence in the diagnosis of necrotizing enterocolitis. A method of descriptive statistics was used to interpret the data. The calculation of intensive and extensive indicators is carried out. Results. When analyzing the results, it was found that all patients had a combination of processes leading to spasm of the vessels of the intestinal wall, which led to mucosal ischemia and necrosis, as well as intestinal contamination with pathogenic microflora, which caused damage to the intestinal mucosa. Conclusion. To prevent the development of NEC, it is necessary to take into account the presence of newborn risk factors for the development of the disease, this requires an analysis of the current course of pregnancy, childbirth and the early neonatal period.

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The role of biomarkers in early diagnostics of inflammatory diseases of intestine in newborns

Year: 2017, volume 13 Issue: №2 Pages: 256-259
Heading: Pediatrics Article type: Review
Authors: Chernenkov Yu.V., Pozgaleva N.V. Panina OS.
Organization: Saratov State Medical University
Summary:

Information on noninvasive biomarkers and methods for studying inflammatory bowel diseases in newborns has been summarized. It is based on the analysis of data taken from foreign and Russian literature. The need for additional study of factors affecting the level of fecal protein production in newborns is substantiated.

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The clinical significance of palivi-zumab in the prevention of severe respiratory infections in newborn infants

Year: 2016, volume 12 Issue: №2 Pages: 165-167
Heading: Pediatrics Article type: Case report
Authors: Bykova Е.М., Gavrilova E.S., Borisova А.А., Pazgalyova N.V., Panina O.S., Chernenkov Yu.V.
Organization: Saratov State Medical University
Summary:

Palivizumab is known as the world's first drug with proven efficacy for passive immunization of severe infections of lower respiratory tract in preterm infants. The paper describes a clinical case of application of palivizumab (sinagis) at a newborn infant with bronchopulmonary dysplasia complicated by episodes of obstructive bronchitis. Particular attention is paid to the mechanism of action of palivizumab on the respiratory syncytial virus providing the data on a clinical picture of respiratory syncytial virus infection in a premature baby and showing the effectiveness of the drug in infants.

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Clinical case of the course of congenital alveolar-capillary dysplasia of the lungs at a newborn

Year: 2016, volume 12 Issue: №2 Pages: 162-164
Heading: Pediatrics Article type: Case report
Authors: Gavrilova E.S., Borisova А.А., Bykova Е.М., Pozgalyova N.V., Panina O.S., Chernenkov Yu.V.
Organization: Saratov State Medical University
Summary:

The article describes a clinical case of a child with an alveolar-capillary dysplasia of the lungs — a rare cause of pulmonary hypertension at a newborn. This pathology is of particular interest from a clinical point of view as it rarely occurs in the clinical practice of a neonatologist. It should be noted that the prenatal diagnosis of this disease is of significant difficulty. The authors found it necessary to highlight the cause of development, the clinical presentation and the methods of diagnostics of alveolar-capillary dysplasia of the lungs.

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Clinical case: paroxysmal tachycardia attack in a newborn with multiple heart rhabdomyomas

Year: 2016, volume 12 Issue: №1 Pages: 45-48
Heading: Pediatrics Article type: Case report
Authors: Chernenkov Yu.V., Pozgaleva N.V., Panina O.S.
Organization: Saratov State Medical University
Summary:

The purpose of the clinical observation is to study the early symptoms of multiple heart rhabdomiomas of a newborn; to draw the attention of specialists on one of the rarely occurred problems in the neonatal practice.

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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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Results of longterm follow-up of children with low birth weight

Year: 2014, volume 10 Issue: №4 Pages: 691-693
Heading: Proceedings of all-Russia week of science with international participants Article type: Original article
Authors: Panina O.S., Chemenkov Yu.V., Lavrova D.B., Belyaeva N.A.
Organization: Saratov State Medical University
Summary:

The purpose of our research is a long-term follow up study of children with low birth weight. Materials and methods. 115 premature children from 0 to 7 years old took part in the research process. The children gestational age was 30-35 weeks and their birth weight was less than 2500 g. All children had thorough clinical and laboratory, instrumental and psychological examination up to the age of seven. Their parents took part in questionnaire survey. Results. Development of all aspects of mentality is retarded and such retardation can be observed in the first months of life as slow learning of new things and peculiarities of psychological interrelations with the world around in the form of negative response to the influence of sensory stimuli, behavioral disorders and difficulties in social adaptation. Conclusion. Children with low birth weight are included into the high-risk group of disabling abnormalities and persistent non-disabling disorders. These children need early comprehensive rehabilitation and, at the same time, extremely careful prognosis of their further development.

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Experience in application of enriched breast milk in feeding children with very low birth weight

Year: 2014, volume 10 Issue: №4 Pages: 623-626
Heading: Pediatrics Article type: Original article
Authors: Panina O.S., Chernenkov Yu.V., Arkhangelsky S.M., Prokopenko L.E.
Organization: Perinatal Centre, Saratov , Saratov State Medical University
Summary:

Nursing of very low and extremely low birth weight infants is one of the most difficult problems of modern perinatol-ogy. It is impossible to carry out this task without organization of fee-ding of this group of children. The aim of our research was to study clinical efficiency of breast milk fortifiers administration (human milk fortifier) when preterm infants feeding. Materials and methods. In consequence of this clinical research (with included 60 premature infants born at less than 33 weeks of gestational age with less than 1500g birth weight) the following advantages before other types of feeding were revealed. Results. Mother and child solidarity in the course of breast feeding make deep favorable mutual emotional pressure. It was succeeded to keep all breast feeding advantages and to provide preterm infants special needs in feedstuffs. Human milk fortifiers administration provides higher body weight gain intensity; reduces length of stay in a hospital. It should not go unnoticed high tolerability and lack of complications at its medication usability was noted. Human milk fortifier divorce with small quantity of breast milk and that is especially important for very low and extremely low birth weight infants feeding. Conclusion. All above-mentioned allows recommending human milk fortifiers «PRE NAN FM 85» administration for breast milk in neonatal practice

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Evaluation of knowledge of breastfeeding mothers before and after the maternity school

Year: 2014, volume 10 Issue: №1 Pages: 108-110
Heading: Pediatrics Article type: Original article
Authors: Belyaeva N.A., Panina O.S., Chernenkov Yu.V.
Organization: Saratov State Medical University
Summary:

Objective: to evaluate the level of knowledge of surveyed women about breastfeeding before and after the maternity school. Material and methods. The anonymous survey of 300 women on breastfeeding has been conducted. The questionnaire consisted of two parts: theoretical and practical. The questionnaire has been filled in on the 3d day after the childbirth (before the maternity course). On the 4th day after the childbirth mothers have been provided with the main issues on breastfeeding and practical recommendations. Results. The questionnaire survey has showed the low level of knowledge of mothers about breastfeeding before the maternity school. The level of knowledge after the school has increased in 2.5 times. The knowledge in practical aspects has increased in 5.2 times. Conclusion. The courses on breastfeeding contribute to the educational status of mothers concerning the questions of correct lactation dominant.

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