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Post a Comment Parameters of physical development of term newborns with Intrauterine Growth Retardation, born in a 3B Level Perinatal Centre of St. Petersburg State Pediatric Medical University in 2022
- Authors: Chumakova G.N.1, Ivanov D.O.1, Bem E.V.1, Panchenko A.S.1, Levadneva M.I.1, Pavlova S.E.1, Fedorova L.A.1, Vyukova E.E.1, Khojieva A.M.1, Shinkareva Y.E.1, Gryzunova P.M.1
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Affiliations:
- Saint Petersburg State Pediatric Medical University
- Issue: Vol 15, No 1 (2024)
- Pages: 19-27
- Section: Original studies
- URL: https://journal-vniispk.ru/pediatr/article/view/263090
- DOI: https://doi.org/10.17816/PED15119-27
- ID: 263090
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Abstract
BACKGROUND: Intrauterine growth retardation of a newborn child is an current problem in neonatology, obstetrics and pediatrics. Due to intrauterine development disorders, these newborns have increased morbidity and mortality rates. In the presence of Intrauterine growth retardation, the likelihood of developing complications in the early neonatal period increases (birth asphyxia, meconium aspiration, hypoglycemia, polycythemia, etc.), and the risk of developing infections and neurological disorders) is increased.
AIM: The aim of this study is to study the parameters of physical development of term newborns born in the Perinatal Centre 3B level of the St. Petersburg State Pediatric Medical University in 2022 year, to determine the frequency and structure of disorders associated with Intrauterine growth retardation and malnutrition depending on the gestational age of term newborns for a differential approach in the management of children with Intrauterine growth retardation by neonatologists and paediatricians.
MATERIALS AND METHODS: There were analyzed 1000 hospital neonatal records of newborns children born at the Perinatal Centre of Level 3B of St. Petersburg State Pediatric Medical University in 2022 year. Of these, 55 term babies were born with Intrauterine growth retardation. The study examined the physical development of term newborns, determined the frequency and structure of disorders associated with intrauterine growth retardation and malnutrition, depending on the gestational age of term newborns.
RESULTS: Retardation of intrauterine growth and development in newborn children born in level 3B centres are represented by low body weight in relation to gestational age in 63.6% of cases, trophic disorders with normal body weight and reduced weight/length ratio in 34.6% of cases, and low height index with normal body weight in 1.8% of cases. Severe physical developmental disorders were found only in children with low body weight: in 13% of cases of low birth weight for gestational age, and in 55% of cases of small fetal size for gestational age.
CONCLUSIONS: the distribution of physical development disorders (ICD code P05.2) in term infants, depending on the degree of maturity has a linear trend and occurs with maximum frequency (50%) in late term newborns, which is associated with the onset of aging of the placenta and the intensification of existing, even compensated, placental insufficiency.
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##article.viewOnOriginalSite##About the authors
Galina N. Chumakova
Saint Petersburg State Pediatric Medical University
Email: zelchum-neo@yandex.ru
ORCID iD: 0000-0001-5353-4610
SPIN-code: 1821-0198
MD, PhD, Dr. Sci. (Medicine), Professor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Dmitry O. Ivanov
Saint Petersburg State Pediatric Medical University
Email: doivanov@yandex.ru
ORCID iD: 0000-0002-0060-4168
SPIN-code: 4437-9626
MD, PhD, Dr. Sci. (Medicine), Professor, Chief Freelance Neonatologist of the Ministry of Health of Russia, Rector, Head of the Department of Neonatology with courses of Neurology and Obstetrics and Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Elena V. Bem
Saint Petersburg State Pediatric Medical University
Author for correspondence.
Email: e.bohm@nbox.ru
ORCID iD: 0009-0008-9337-5667
SPIN-code: 2811-5938
MD, PhD, Assistant Professor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100
Aleksandra S. Panchenko
Saint Petersburg State Pediatric Medical University
Email: sashawomen18@mail.ru
ORCID iD: 0000-0003-2313-3941
SPIN-code: 9552-2350
MD, PhD, Dr. Sci. (Medicine), Professor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Marina I. Levadneva
Saint Petersburg State Pediatric Medical University
Email: m-lev11@yandex.ru
ORCID iD: 0000-0001-6716-7567
SPIN-code: 2780-6674
Assistant Professor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Svetlana E. Pavlova
Saint Petersburg State Pediatric Medical University
Email: Svetlanapav.spb@mail.ru
ORCID iD: 0000-0001-5423-0950
SPIN-code: 1761-4768
Assistant Professor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Larisa A. Fedorova
Saint Petersburg State Pediatric Medical University
Email: arslarissa@rambler.ru
ORCID iD: 0000-0001-9747-762X
SPIN-code: 5474-0902
Associate Professor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Ekaterina E. Vyukova
Saint Petersburg State Pediatric Medical University
Email: katya.vyukova@bk.ru
Resident doctor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Azizzakhon M. Khojieva
Saint Petersburg State Pediatric Medical University
Email: khojieva.a@gmail.com
Resident doctor, Department of Neonatology with Courses in Neurology and Obstetric-Gynecology of the Postgraduate and Additional Professional Education
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Yulia E. Shinkareva
Saint Petersburg State Pediatric Medical University
Email: Shi-23@mail.ru
Student
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100Polina M. Gryzunova
Saint Petersburg State Pediatric Medical University
Email: gryzunovapauline@yandex.ru
Student
Russian Federation, 2 Litovskaya Str., Saint Petersburg, 194100References
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