THE AUTONOMIC STATUS AND ADAPTATION IN NEONATES BORN WITH INTRAUTERINE GROWTH RETARDATION THROUGH DIFFERENT DELIVERY MODES IN PREGNANT WOMEN

Objective. To evaluate the autonomic status and adaptation in neonates born with intrauterine growth retardation (IUGR) through different delivery modes in pregnant women. Subjects and methods. There were 55 and 17babies born with and without IUGR, respectively; and 25 apparently healthy children. Clinicoanamnestic, physical, electrophysiological, and statistical studies were applied. Results. Fetal growth retardation was not a criterion for selecting a delivery mode in pregnant women. Surgical delivery was needed by women with a more compromised somatic (especially hypertension and hypothyroidism) and obstetric/gynecological (abortions, threatened miscarriage, and rhesus-immunization) histories, while their childbirth was more frequently complicated by heart rate changes (by 3.24 times) and meconium discharge in amniotic fluid (by 3.24 times), which was suggestive of experienced intranatal hypoxia; and the newborns were more often diagnosed as having grades I-II grade cerebral ischemia (by 1.52 times), an Apgar score of 7-8 (by 2.16 times), ventricular dilatation (by 1.58 times), maximum weight loss in the first 1-2 days of life (by 1.3 times), hemorrhagic syndrome (by 2.16 times), jaundice (by 1.57 times), hypoglycemia (by 1.23 times), autonomic dysfunction (by 1.41 times), even more depletion of the sympathetic segment and adaptation reserves; but at one month of life, there was their greater stress, which was accompanied by more severe clinical manifestations of autonomic dysfunction. Conclusion. The natural delivery of pregnant women who had growth retardation in their fetus at 37-42 weeks’ gestation is more adequate.

ways to give birth, newborns, fetal growth retardation, autonomic dysfunction