Saratov JOURNAL of Medical and Scientific Research

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

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.

1. Yatsyk GV, Bombardirov EP, Tokovaya El. Psychological development of very premature children. Children's doctor 2001; (3): 8-12
2. Kulakov VI, Barashnev Yul. High-risk newborns: new diagnostic and therapeutic technologies. M.: GEOTAR-Media, 2006; p. 24-8
3. Barashnev Yul. The role of hypoxic-traumatic lesions of the brain in the formation of disability from childhood. Russian Bulletin of Perinatology and Pediatrics 2006; (4): 41-6
4. Shabalov NP Neonatology. St. Petersburg: Spetslit, 2012. Vol. 1; 607 p.
5. Michael J. Increasing prevalence of cerebral palsy among very preterm infants: A population-based study. Pediatrics 2006; 118: 1621-6
6. Glukhovets NA, Belousova NA, Popov GG. The main causes of death in extremely low birth weight infants. Russian Bulletin of Perinatology and Pediatrics 2004; (5): 61
7. Callaghan WM. The Contribution of Preterm Birth to Infant Mortality in the United States. Pediatrics 2006; 118: 1566-73
8. Barclay L, Lie D. Hyperglycemia in Extremely Preterm Infants Linked to Poor Outcomes CME. Pediatrics 2010; 125: 584-91
9. Wood NS. Neurological and developmental disability after extremely preterm birth. The New England Journal of Medicine 2008; 343 (6): 378-84
10. Chernenkov YuV, Nechaev VN. Perinatal lesions of the central nervous system in newborns: tutorial. Saratov, 2016; 256 p.
11. Chernenkov YuV, Raskina ЕЕ, Nechaev VN, et al. Topical issues of outpatient and social Pediatrics: tutorial. Saratov, 2008; 277 p.
12. Palchik АВ, Fedorova LA, Ponyatishin АЕ. Neurology premature babies. Moskow: MEDpress-inform, 2011; 352 p.
13. Volodina Nl. Neonatology (national leadership). M.: GEOTAR-Media, 2007; 847 p.
14. Vlasyuk VV Brain pathology in children with hypoxic-ischemic lesions and malformations. St. Petersburg: LEMA, 2012; p. 18-26
15. Fenton NR. A new growth chart for pretern babies: Babson and Bendas chart updated with recent date and a new format. Pediatr 2003; 3: 13.

2018_2_226-233.pdf285.23 KB

No votes yet