CHARACTERISTIC FEATURES OF PERINATAL PERIOD IN NEWBORNS WITH INTRAUTERINE GROWTH RETARDATION OF DIFFERENT GESTATION AGE
Aim. To study the perinatal features and sickness rate of newborns of different gestation age with intrauterine growth retardation (IUGR). Materials and methods. Group 1 ( n = 82) included newborns with gestation age boarders 32-36 weeks, group 2 ( n = 120) - full-term newborns with gestation age 37-40 weeks. Characteristic features of anamnesis, gestation period and labor were evaluated; clinical and laboratory-instrumental investigations were performed. Results. Early hypoglycemia during the first hours of life was registered in 46.3% of premature newborns with IUGR and in 26.7 % of full-term newborns ( p < 0.01), transitory hypocalcaemia - in 13.4 and 20.0 %, respectively. In patients of group 1 - chronic intrauterine fetal hypoxia (25.7 %) ( p < 0.05), intranatal asphyxia (40.2 %) ( p < 0.05), respiratory distress-syndrome at early neonatal period (34.1 %) ( p < 0.01) were registered more often. During the neonatal period, no differences in frequency and character of perinatal nervous system lesions were detected in the examined groups. Conclusions. Thus, there were obtained the proofs of significant influence of gestation age on the course of perinatal period, character and severity of pathological states in newborns with IUGR.