A clinical case of successful nursing of a low birth weight premature baby by gestational age
- Authors: Shipilova L.M.1, Gracheva A.D.1, Nemolyaeva D.K.1, Nurieva A.N.1, Uryadova A.S.1
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Affiliations:
- Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» of the Ministry of Healthcare of the Russian Federation
- Issue: Vol 26, No 4 (2024)
- Pages: 40-43
- Section: Клинический случай
- URL: https://journals.eco-vector.com/0025-8342/article/view/633544
- DOI: https://doi.org/10.29296/25879979-2024-04-08
- ID: 633544
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Abstract
The incidence of early anemia, NEC (necrotizing enterocolitis), retinopathy increases in children born at gestational age 31.6 weeks with ENMT (extremely low birth weight) and small size by gestational age. These diseases against the background of ENMT are severe and often lead to an unfavorable outcome.
The incidence of early anemia of prematurity ranges from 16.5 to 91.3% and has an inverse correlation with gestational age and birth weight. Early anemia of prematurity is a hematologic syndrome characterized by a decrease in hemoglobin and/or hematocrit by more than 2 standard deviations from the mean values of hemoglobin and/or hematocrit for a given postnatal age in premature infants, developing in the 3rd to 10th week of life.
The average incidence of necrotizing enterocolitis is 2.4:1000 newborns (1 to 10:1000), or about 2.1% (1 to 7%) of all infants admitted to neonatal intensive care units. The incidence of the disease increases with decreasing gestational age of the child at birth. Gradual increase of parenteral nutrition reduces the risk of NEC or death in preterm neonates with ENMT (extremely low birth weight), as well as neonates with antenatal NMT (low birth weight).
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About the authors
Lyubov M. Shipilova
Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: lyubov0506@yandex.ru
ORCID iD: 0000-0002-8173-828X
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Pediatrics and Neonatology
Russian Federation, SaratovAnastasia D. Gracheva
Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: gra4eva00@yandex.ru
6th Year Student of the Pediatrics Faculty
Russian Federation, SaratovDaria K. Nemolyaeva
Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: dasha.nemolayeva6828@gmail.com
6th Year Student of the Pediatrics Faculty
Russian Federation, SaratovAida N. Nurieva
Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: nurieva.aida@inbox.ru
6th Year Student of the Pediatrics Faculty
Russian Federation, SaratovAnastasia S. Uryadova
Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: nastya.yryadova69@mail.ru
6th Year Student of the Pediatrics Faculty
Russian Federation, SaratovReferences
- Balashova E.N., Sharafutdinova D.R., Narogan M.V. et al. Early anemia of prematurity (clinical recommendations). Neonatology: news, opinions, training. 2021; (9): 47–61.
- Somova T.M. Congenital bullous epidermolysis in children: issues of etiopathogenesis, clinic, diagnosis and treatment. Vestnik SURSU, Medina. 2020; (3): 87–94.
- Chubarova A.I. Necrotizing enterocolitis of newborns. Klinicheskaya i eksperimental’naya gastroenterologiya. 2012; 71–74.
- Shabalov N.P. Neonatology: textbook. M.GEOTAR-Media. 2019; (2): 168–180.
- Shilova N.A., Kharlamova N.V., Fisyuk Y.A., Chasha T.Y., Churakova E.V., Mezhinsky S.S. Frequency and outcomes of retinopathy in deep premature newborns in conditions of specialized medical care. Russian journal of perinatology and pediatrics. 2018; 63 (5): 51–54.
- Manvi Tyagi, Akhil Maheshwari, Brunetta Guaragni, Mario Motta, Use of Fresh-frozen Plasma in Newborn Infants. Newborn (Clarksville). 2022; 1 (3): 271–277.
- Sam J Oddie 1, Lauren Young, William McGuire, Slow advancement of enteral feed volumes to prevent necrotising enterocolitis in very low birth weight infants. Cochrane Database Syst Rev. 2021; 8 (8): CD001241.
- Vivek Saraha, MD, PhD,1 Cassandra D. Josephson, MD,2 and Ravi Mangal Patel, Epidemiology of NEC: New Considerations Regarding the Influence of Red Blood Cell Transfusions and Anemia. Clin Perinatol. 2019; 46 (1): 101–117.
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