SPECIFIC FEATURES OF NEONATAL ADAPTATION AND POSTNATAL DEVELOPMENT OF INFANTS BORN AT 340/7-3667 WEEKS' GESTATION


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Objective. To investigate the course of the neonatal period and the development of pathological conditions at birth and in the first year of life among late preterm neonates. Material and methods. A total of 568 case histories of babies born at 340/7 to 366/7 weeks’ gestation in the period from 01.10.2013 to 31.12.2015 were retrospectively analyzed and 60 late preterm infants were selectively followed up for their development during the first year of life at the Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Results. The investigation showed that 28.9% of the late preterm babies needed treatment in an intensive care unit (ICU). 51.4% required treatment in a pathology unit for neonates and premature babies (PUNPB). 45.9% of the late premature infants were discharged home from the neonatal unit (NU). The mean length of hospital stay in ICU, PUNPB, and NU was 5.4±4.2, 0.8±4.7, and 5.2±1.8 days, respectively. The severity of prematurity-related complications in the followed-up infants was proportional to gestational age (p < 0.005). The follow-up of the late preterm infants revealed that their vast majority caught up with their full-term peers in terms of physical and psychomotor development during the first six months of life. Conclusion. The investigation confirms the need for increased attention, differentiated approaches to nursing, feeding, and management of infants born at 34-36 weeks’ gestation.

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作者简介

L. TIMOFEEVA

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: leilatimofeeva@mail.ru; l_timofeeva@oparina4.ru
PhD, head of the department of newborns Moscow 117997, Ac. Oparina str. 4, Russia

I. RYUMINA

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: i_ryumina@oparina4.ru
head of the department of pathology of newborn and premature babies; MD, Professor, Department of Neonatology Moscow 117997, Ac. Oparina str. 4, Russia; Moscow 119048, Trubetskaya str. 8, Russia

O. IONOV

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: o_ionov@oparina4.ru
Head of the intensive care unit newborns; PhD, Associate Professor, Department of Neonatology Moscow 117997, Ac. Oparina str. 4, Russia; Moscow 119048, Trubetskaya str. 8, Russia

A. DEGTYAREVA

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: a_degtyareva@oparina4.ru
Head of the Scientific Advisory pediatric department of neonatology department; MD, Professor, Department of Neonatology Moscow 117997, Ac. Oparina str. 4, Russia; Moscow 119048, Trubetskaya str. 8, Russia

V. ZUBKOV

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: v_zubkov@oparina4.ru
Head of the Department of Neonatology and Pediatrics; MD, Professor, Department of Neonatology Moscow 117997, Ac. Oparina str. 4, Russia; Moscow 119048, Trubetskaya str. 8, Russia

N. KAN

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: n_kan@oparina4.ru
MD, head of department of obstetrics observational; professor of the Department of Obstetrics, Gynecology, Perinatology, and Reproduction Moscow 117997, Ac. Oparina str. 4, Russia; Moscow 119048, Trubetskaya str. 8, Russia

D. DEGTYAREV

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: glav_neolog@yahoo.com; d_degtiarev@oparina4.ru
Deputy Director; MD, Professor, Head of Neonatology Moscow 117997, Ac. Oparina str. 4, Russia

D. SHARAFUTDINOVA

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: dikarush@gmail.com
resident neonatologist Moscow 117997, Ac. Oparina str. 4, Russia

参考

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  2. Natile M., Ventura M.L., Colombo M., Bernasconi D., Locatelli A., Plevani C. et al. Short-term respiratory outcomes in late preterm infants. Ital. J. Pediatr. 2014; 40: 52.
  3. Forsythe E.S., Allen P.J. Health risks associated with late-preterm infants: implications for newborn primary care. Pediatr. Nurs. 2013; 39(4): 197-201.
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  6. Hwang S.S., Barfield W.D., Smith R.A., Morrow B., Shapiro-Mendozfl C.K., Prince C.B. et al. Discharge timing, outpatient follow-up, and home care of late-preterm and early-term infants. Pediatrics. 2013; 132(1): 101-8.

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