Preview

Humans and their health

Advanced search

Peculiarities of anamnesis in mothers of premature newborns with respiratory disorders

https://doi.org/10.21626/vestnik/2016-3/05

Abstract

In this research paper a microbial spectrum of amniotic fluid and histological changes in placenta in 255 parturient women with immature delivery were studied. Newborns of these mothers had respiratory disorders. The 1st group included 87 children with congenital pneumonia, the IInd group consisted of 83 children with respiratory fetal-distress and the IIIrd group contained 85 newborns with both congenital pneumonia and respiratory fetal-distress. The semination of amniotic fluid in parturient women was found in 29.0% and the semination of placenta was identified in 24.7% cases. The amount of colonies of opportunistic flora in the amniotic fluid equal to 106 and more was revealed in the 1st group in 83.9% of parturient women and in the IIIrd group it was in 74.1% women, and in the IInd group it was in 42.2% parturient women. The bacterial and fungal flora (29.5%) was prevailed. The degree of opportunistic flora colonization in placenta of parturient women being equal to 106 and more was found in the 1st group in 82.6% and in the IIIrd group it was in 78.8% cases, in the IInd group it was in 57.1% women. The bacterial and fungal flora was identified in 18.3% patients. The half of parturient women in the IInd and IIIrd groups and 1/3 of the Ist group were revealed immature placenta with signs of chronic placental insufficiency.

About the Authors

L. A. Levchenko
Kursk State Medical University
Russian Federation


T. M. Klimenko
Kharkov Medical Academy of Postgraduate Education
Russian Federation


I. G. Chmelevskaya
Kursk State Medical University
Russian Federation


References

1. Василенко Л.В., Зрячкин Н.И., Василенко Т.Л. Состояние здоровья детей, родившихся после превентивного лечения беременных групп риска по внутриутробному инфицированию плода // Проблемы репродукции. - 2008. - № 3. - С. 3-8.

2. Веропотвелян Н.П., Веропотвелян П.Н., Пухальская И.Н. Бактериальный вагиноз: современные подходы к лечению // Медицинские аспекты здоровья женщины. - 2010. - № 9-10 (38-39). - С. 68-74.

3. Володин Н.Н. Неонатология. Национальное руководство / под ред. Н.Н. Володина. - М. : ГЭОТАР-МЕДИА, 2007. - 848 с.

4. Гублер Е.В. Вычислительные методы анализа и распознавание патологических процессов. - М. : Медицина, 1987. - 294 с.

5. Зосимов А.Н., Пархоменко Л.К. Доказательное рецензирование медицинских диссертаций. - Харьков : Факт, 2008. - 150 с.

6. Кривопустов С.П. Пневмония новорождённых: особенности диагностики и лечения // Здоров`я України. - 2008. - № 18. - С. 32 - 33.

7. Лях Ю.Е., Гурьянов В.Г. Основы компьютерной биостатистики: анализ информации в биологии, медицине и фармации статистическим пакетом MedStat. - Донецк, 2006. - 214 с.

8. Могилевкина И.А., Гребельная Н.В., Жилка Н.Я. Перинатальные инфекции (научно-доказательные подходы к оказанию помощи) // Перинатология и педиатрия. - 2007. - № 2. - С. 15 - 31.

9. Сидельникова В.М., Антонов А.Г. Преждевременные роды. Недоношенный ребёнок. - М. : ГЭОТАР - Медиа, 2006. - 448 с.

10. Тимошенко В.Н. Недоношенные новорожденные дети - Ростов-н/Д : Феникс, 2007. - 184 с.

11. Amiel-Tison C. Update of the Amiel-Tison Neurological Assessment for the term neonate or at 40 weeks corrected age // Pediatric Neyrology. - 2002. - Vol. 27, N 3. - P. 209-228.

12. Boo N.-Y. Current Understanding of Congenital Pneumonia // Pediatr. Health. - 2008. - Vol. 2, N 5. - P. 563-569.

13. Carr R. Granulocyte-macrophage colony stimulating factor administered as prophylaxis for reduction of sepsis in extremely preterm, small for gestational age neonates (the PROGRAMS trial): a single-blind, multicentre, randomised controlled trial // Lancet. - 2009. - Vol. 373, N 9659. - P. 226-233.

14. Czichos E., Kaluzynski A., Krekora M. Congenital pneumonia in fetuses and newborns ad inflammatory lesions in the placenta // Pol. Merkur. Lekarski. - 2001. - Vol. 10, N 60. - P. 426-430.

15. Duke T. Neonatal pneumonia in developing countries // Arch. Dis. Child Fetal Neonatal Ed. - 2005. - Vol. 90, N 3. - Р. 211-219.

16. Matthew J., Bizarro C. Changing patterns in neonatal Escherichia coli sepsis and ampicillin resistance in the era of intrapartum antibiotic prophylaxis // Pediatrics. - 2008. - Vol. 121, № 4. - P. 689 - 696.

17. Satoshi K., Fujimura M., Sakuma I. Morbidity and Mortality of Infants with Very Low Birth Weight in Japan: Center Variation // Pediatrics. - 2006. - Vol. 118, N 4. - P. 1130-1138.


Review

For citations:


Levchenko L.A., Klimenko T.M., Chmelevskaya I.G. Peculiarities of anamnesis in mothers of premature newborns with respiratory disorders. Kursk Scientific and Practical Bulletin "Man and His Health". 2016;(3):27-32. (In Russ.) https://doi.org/10.21626/vestnik/2016-3/05

Views: 603


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1998-5746 (Print)
ISSN 1998-5754 (Online)