电邮这篇文章 
发表评论 Newborn asphyxia: features of the course of pregnancy and delivery and the structure of the placenta
- 作者: Ivanova L.A.1, Ivanov D.O.2, Bezhenar V.F.3, Krasnogorskaya O.L.2
-
隶属关系:
- Kirov Military Medical Academy
- Saint Petersburg State Pediatric Medical University
- Academician I.P. Pavlov First St. Petersburg State Medical University
- 期: 卷 14, 编号 3 (2023)
- 页面: 51-59
- 栏目: Original studies
- URL: https://bakhtiniada.ru/pediatr/article/view/254583
- DOI: https://doi.org/10.17816/PED14351-59
- ID: 254583
如何引用文章
开放存取
##reader.subscriptionAccessGranted##
订阅存取
详细
BACKGROUND: The main cause of early neonatal death is neonatal asphyxia. Asphyxia transferred during childbirth can lead to damage of the brain, respiratory disorders, hemodynamic disorders, and impaired renal function.
AIM: The aim of the study is to determine the factors predisposing to the birth of a child in a state of asphyxia.
MATERIALS AND METHODS: A retrospective study was conducted, which included the analysis of medical records of 11,662 women who gave birth at the Perinatal Center of the Saint Petersburg State Pediatric Medical University (level IIIB obstetric institution), whose pregnancy ended in urgent delivery. The main group included patients who gave birth to full-term babies in a state of moderate and severe asphyxia (n = 70), the control group included patients who gave birth to children without asphyxia (n = 11,592).
RESULTS: Factors predisposing to the birth of a full-term baby in a state of moderate and severe asphyxia were identified, which can be used to develop a system for predicting the birth of a child in a state of asphyxia and a set of preventive measures.
CONCLUSIONS: More frequent ascending infection of stage II and III makes it necessary to timely identify and treat a bacterial infection in all full-term pregnant women. A prognostic model for the birth of a full-term baby in a state of asphyxia has been constructed. Women at risk should undergo an additional examination at 37 weeks of pregnancy: sowing from the cervical canal for flora and sensitivity to antibacterial drugs to identify pathogenic and opportunistic microflora, childbirth should be carried out under mandatory constant monitoring control.
作者简介
Lidiia Ivanova
Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: lida.ivanova@gmail.com
Cand. Sci. (Med.), Associate Professor of the Department of Obstetrics and Gynecology
俄罗斯联邦, Saint PetersburgDmitry Ivanov
Saint Petersburg State Pediatric Medical University
Email: doivanov@yandex.ru
SPIN 代码: 4437-9626
MD, PhD, Dr. Sci. (Med.), 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
俄罗斯联邦, Saint PetersburgVitaly Bezhenar
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: lida.ivanova@gmail.com
MD, PhD, Dr. Sci. (Med.), Professor, Head, Department of Obstetrics, Gynecology and Reproductology
俄罗斯联邦, Saint PetersburgOlga Krasnogorskaya
Saint Petersburg State Pediatric Medical University
Email: krasnogorskaya@yandex.ru
MD, PhD, Associate Professor, Department of Pathological Anatomy at the rate of Forensic Medicine
俄罗斯联邦, Saint Petersburg参考
- Baybarina YN, Sorokina ZK. Outcomes of 22–27 weeks of pregnancy in health care institutions of Russian Federation. Current Pediatrics. 2011;10(1):17–20. (In Russ.)
- Bezhenar VF, Ivanova LA, Ivanov DO, Krasnogorskaya OL. Amniotic fluid is a marker of the condition of the fetus. Is it so? Pediatrician (St. Petersburg). 2022;13(6):5–16. (In Russ.) doi: 10.17816/PED1365-16
- Ivanov DO, Atlasov VO, Bobrov SA, et al. Rukovodstvo po perinatologii. Saint Petersburg: Inform-Navigator, 2015. 1216 p. (In Russ.)
- ROAG, AAAR. Prezhdevremennye rody. Klinicheskie rekomendatsii. Moscow, 2020. 43 p. (In Russ.)
- ROAG, AAR, AAAR. Rody odnoplodnye, rodorazreshenie putem kesareva secheniya. Klinicheskie rekomendatsii. Moscow, 2021. 106 p. (In Russ.)
- Konovalov OE, Haritonov AK. Modern trends in perinatal and neonatal mortality in the Moscow region. RUDN Journal of Medicine. 2016;(1):135–139. (In Russ.)
- Moiseeva KE. Some results of evaluation the dynamics of morbidity in newborns in birth care organizations. Medicine and health care organization. 2019;4(3): 40–47. (In Russ.)
- Antonov AG, Burov AA, Volodin NN, et al. Reanimatsiya i stabilizatsiya sostoyaniya novorozhdennykh detei v rodil’nom zale. Metodicheskoe pis’mo. Ed. by E.N. Baibarina. Moscow, 2020. 46 p. (In Russ.)
- Sorokina SEh. Akusherskie aspekty perinatal’noi smertnosti [dissertation]. Saint Petersburg, 2006. 431 p. (In Russ.)
- Sukhanova LP, Kuznetsova TV. Perinatal problems of reproduction of the population of Russia. Social Aspects of Population Health. 2010;(4):11–21. (In Russ.)
- Frolova ОG, Tokova ZZ. Main indices of the activity of obstetric-and-gynecological service and reproductive health. Obstetrics and Gynecology. 2005;(1):3–5. (In Russ.)
补充文件
