FEATURES OF LATE PRETERM INFANTS IN THE CONDITIONS OF THE REGIONAL PERINATAL CENTER

Abstract

The purpose of the study was to investigate the main factors predisposing to the birth of children at gestational age of 34–36 weeks, the features of the course of the neonatal period, the structure of morbidity and mortality in the conditions of the regional perinatal center.

Material and methods. A retrospective analysis of 380 medical records of an inpatient patient of the Regional Perinatal Center of State Novosibirsk Regional Clinical Hospital born on a gestational age of 34–36 weeks for 2017–2018 was performed.

Results and discussion. All women with premature late delivery had a burdened somatic and/or obstetric-gynecological history. 70 % of women were delivered by surgery. The anthropometric characteristics of late preterm infants in 85 % of cases corresponded to gestational age, in most of them the neonatal period proceeded with the development of respiratory disorders, hyperbilirubinemia, and low tolerance to enteral nutrition. Children with less gestational age needed respiratory support for a longer time. Due to the difficult condition at birth, about 40 % of the children were transferred from the maternity ward to the intensive care unit of the newborn. A quarter of late premature infants received medical care exclusively in a maternity hospital. The mortality rate was 1 %. Thus, late premature babies are a special category of newborns, when nursing which it is necessary to carry out timely diagnosis of pathological conditions, as well as the prevention of adaptation disorders, especially in the early neonatal period.