Clinical characteristics of newborn with different birth weight (results of a multicenter cohort study)

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Abstract


This article is dedicated to analysis of clinical characteristics of children with different birth weight included in the multicenter cohort study of newborns. The study analyzed data 572 children who were stratified according to birth weight (normal, low, very low and extremely low body weight). As part of the protocol incorporating the patient’s visit was provided at the time of birth (visit 0), a retrospective collection of anamnestic data about the mother (Visit -1) and visit prospective study of children aged 12 months (Visit 1). As a result of the analysis, it was found that the increase in frequency of operative delivery, and reduction of Apgar score and the presence of the studied pathological conditions, to the greatest extent, common in children who had birth weight of less than 1500 in this case. The probability of a combination of 3 or more conditions (described in this paper), in the case of a child with an extremely low birth weight was higher in the 44-fold (OR = 44.52; CI95% 15,5-127,5), while when the newborn had very low birth weight - a chance of development was significantly higher only in the 7-fold (OR = 7.12; CI95% 2,4-20,9) compared with children who had a low birth weight. In this regard, there is a need not only to the use of modern technologies nursing of low birth weight infants, but also provide preventive care in a group of women with a high degree of perinatal risk and risk of preterm delivery, allowing prolong pregnancy up to 32 weeks and/or weight of the fruit body of more than 1000 g, which can improve the survival rates of patients and the prevention of premature severe disabling conditions in the future.

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About the authors

Ivan A Deev

Siberian State Medical University, Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: ivandeyev@yandex.ru

Russian Federation MD, PhD, Dr Med Sci, Professor, Department of Faculty Pediatrics

Kristina V Kulikova

Siberian State Medical University, Ministry of Healthcare of the Russian Federation

Email: kristina.v.kulikova@gmail.com

Russian Federation Assistant Professor

Olga S Kobyakova

Siberian State Medical University, Ministry of Healthcare of the Russian Federation

Email: olga_kobyakova@rambler.ru

Russian Federation MD, PhD, Dr Med Sci, Professor, Head, Department of General Medical Practice

Evgeny S Kulikov

Siberian State Medical University, Ministry of Healthcare of the Russian Federation

Email: evgeny.s.kulikov@gmail.com

Russian Federation MD, PhD, Dr Med Sci, Associate Professor, Department of General Medical Practice

Aleksandr V Holopov

Tomsk Region Health Department

Email: alexholopov@rambler.ru

Russian Federation MD, PhD, Head of Department

Igor A Stepanov

Regional Perinatal Center

Email: stepanovOPC@mail.ru

Russian Federation MD, PhD, Deputy of Chief of Perinatal Centre

Irina N Antonova

Perm Regional Clinical Hospital

Email: irina123a@mail.ru

Russian Federation Pediatrician, Department of Follow-up and Rehabilitation Treatment of Young Children

Elena G Bybchenko

Regional Perinatal Center

Email: elena.1982.ru@mail.ru

Russian Federation MD, PhD, Neonatologist, Department of Neonatal Pathology

Kirill E Holtzman

St Nicholas Children’s Municipal Hospital No 17

Email: kg_fox@hotmail.com

Russian Federation Neurologist, 2nd Department

Elena N Dorovskaja

Trans-Baikal Regional Perinatal Center

Email: el.dorovskay@yandex.ru

Russian Federation Deputy of Chief for Pediatric Care

Ekaterina N Kozhevnikova

Regional Perinatal Center

Email: kozhevnikova.en@yandex.ru

Russian Federation Pediatrician, Department of Follow-up of Clinical-Diagnostic Department

Ludmila V Ledyakina

Mordovia Republican Clinical Perinatal Center

Email: kristina.v.kulikova@gmail.com

Russian Federation MD, PhD, Dr Med Sci, Deputy of Chief for Pediatric Care

Natalia A Makarova

Trans-Baikal Regional Perinatal Center

Email: makarova-nat@yandex.ru

Russian Federation Head, Department of Neonatal Intensive Care

Maria A Permyakova

Perm Regional Clinical Hospital

Email: masha.permiakova@yandex.ru

Russian Federation Pediatrician, Department of Follow-up and Rehabilitation Treatment of Young Children

Nadezhda G Popova

Trans-Baikal Regional Perinatal Center

Email: popovaneo@mail.ru

Russian Federation MD, PhD, Associate Professor, Department of Pediatrics FPC PPP

Anna A Stradina

Mordovia Republican Clinical Perinatal Center

Email: gofj@mail.ru

Russian Federation Neonatologist, Department of Neonatal and Premature Infants

Larisa A Fedorova

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: arslarissa@rambler.ru

Russian Federation MD, PhD

Anna A Fomenko

St Nicholas Children’s Municipal Hospital No 17

Email: gvozdik1985@mail.ru

Russian Federation Neurologist, 2nd Department

Ekaterina S Kharitonova

St Nicholas Children’s Municipal Hospital No 17

Email: romanovaes@mail.ru

Russian Federation Neurologist, 2nd Department

Ekaterina B Khodosevich

St Nicholas Children’s Municipal Hospital No 17

Email: katerina_laru@mail.ru

Russian Federation Neurologist, 2nd Department

Irina N Chugainova

Perm Regional Clinical Hospital

Email: ira.ch09@mail.ru

Russian Federation Head, Department of Follow-up and Rehabilitation Treatment of Young Children

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Copyright (c) 2016 Deev I.A., Kulikova K.V., Kobyakova O.S., Kulikov E.S., Holopov A.V., Stepanov I.A., Antonova I.N., Bybchenko E.G., Holtzman K.E., Dorovskaja E.N., Kozhevnikova E.N., Ledyakina L.V., Makarova N.A., Permyakova M.A., Popova N.G., Stradina A.A., Fedorova L.A., Fomenko A.A., Kharitonova E.S., Khodosevich E.B., Chugainova I.N.

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