Sexual development of girls - survivors of neonatal surgery and intensive care

Abstract

Objective: The study of sexual development of children is an actual task of pediatrics. In survivors of neonatal surgery and intensive care such studies are the initial point in designing the effective and goal-oriented programs.

Full Text

Methods: We've examined 15 girls aged 12-14 years, who underwent reconstructive surgery because of congenital anomalies and intensive care after asphyxia in early neonatal period. We used the method of somatoscopia according to the normal values proposed by I.M. Vorontzov in 1984.

Results: The integral index of sexual development in girls, who underwent reconstructive surgery and intensive care in the neonatal period is 64% lower compared with healthy peers. It’s necessary to underline that the retardation is sexual development was more obvious in girls-survivors of neonatal surgery than in those girls, who underwent neonatal intensive care and this difference in retardation gradually increases with age. The data obtained in this study highly correlates with distribution of fat and the amount of lean body mass, and also with work capacity examined by the method of step-test.

Conclusions: Our studies demonstrate the decline of reproductive potential in girls, who underwent neonatal surgery and intensive care and this with no doubt influences their quality of life.