FEATURES OF THE PERINATAL PERIOD OF NEWBORNS WHO UNDERWENT ASPHYXIA IN SEMEY (REPUBLIC OF KAZAKHSTAN)
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Abstract
Objective – to assess the health status of children born in the first year of life with asphyxia.
Research strategy: a single. Stage retro-and prospective study was conducted.
Main group, inclusion criteria: newborns born with asphyxia, unable to start or maintain normal independent breathing immediately after birth due to impaired oxygenation during labor and delivery; newborns with severe asphyxia (pulse at birth less than 100 beats/min, slow or steady, breathing is absent or difficult, skin is pale, muscles are atonic, Apgar score 0-3 points 1 minute after birth); newborns with moderate or moderate asphyxia (normal breathing within 1 minute after birth was not established, but the heart rate of 100 beats/min or more, slight muscle tone, slight response to irritation, Apgar score 4-7 points 1 minute after birth) – in the number of 76 children.
Control group, inclusion criteria: newborns born without asphyxia, that is, are able to start or maintain normal independent breathing immediately after birth. The control group includes 165 newborns, in a ratio of 2 : 1 to the main group.
Exclusion criteria: multiple pregnancies, birth defects incompatible with life, multiple pregnancies.
Results. The threatening condition of the fetus (obstruction of labor) in the control group was 18.4 % (n = 14), in the main group it was 21.2 % (n = 35), which determines the timely implementation of necessary measures by an obstetrician-gynecologist. It also revealed the peculiarity of the acid-base state, the presence of decompensated metabolic acidosis in newborns who suffered asphyxia at birth, which exacerbates the severity of the condition and the perinatal outcome.
Keywords
Author Biographies
Назым Муратбековна Аильбаева,
master of medical sciences, 1-year doctoral studentАлия Рахметуллиновна Алимбаева,
candidate of medical sciences, acting associate professor of the department of pediatric surgery, orthopedics and pediatrics named after D.M. TusupovaГульнара Болатовна Тайоразова,
master of medical sciences, 1-year doctoral studentСаят Замамбекович Танатаров,
doctor of medical sciences, professor of the department of anesthesiology, resuscitation and narcologyДинара Оралгазыевна Ахметжанова,
candidate of medical sciences, head of the department of pediatric surgery, orthopedics and pediatrics named after D.M. TusupovaЮрий Федорович Лобанов,
Yuri F. Lobanov Doctor of Medical Sciences, Professor, Head of the Department of Propedeutics of Childhood Diseases
Евгений Васильевич Скударнов,
doctor of medical sciences, professor, head of the Interdepartmental laboratory for the study of children's healthЛюдмила Анатольевна Строзенко,
doctor of medical sciences, professor, director of the Institute of PediatricsArticle Details
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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