PROBLEMS OF CARING FOR PREMATURE BABIES AND POSSIBILITIES OF THEIR SOLUTION

Authors

  • I. M. Sarapuk I. Horbachevsky Ternopil National Medical University
  • H. A. Pavlyshyn I. Horbachevsky Ternopil National Medical University
  • M.-K. Borshevska-Kornatska Warsaw Medical University, Neonatology and Intensive Care Clinic
  • O. V. Klishch I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/24116-4944.2020.1.11479

Keywords:

premature infants, extremely premature babies, very premature babies, survival rate, morbidity, early outcomes of nursing

Abstract

The aim of the study – to conduct a comparative analysis of survival rates and morbidity of premature infants (very and extremely premature infants) in perinatal centers in different countries.

Materials and Methods. Retrospective evaluation of standardized perinatal and neonatal data of premature infants with gestational age from 24+0 to 31+6 weeks, born in the perinatal center of Ternopil and Warsaw. A comparative analysis of antenatal risk factors, features of the intranatal period, anthropometric indicators at childbirth, clinical characteristics in the early neonatal period.

Results and Discussion. Comparative analysis showed that the survival rate of extremely premature infants in the Warsaw Perinatal Center is significantly higher than in the regional center (p = 0.0076). The incidence of sepsis (early, late), necrotizing enterocolitis, intraventricular hemorrhage was higher among premature infants of the Ternopil perinatal center. Most extremely premature and one-third of very premature infants in the regional center have a postnatal growth failure at discharge.

Conclusions. Comparative analysis of survival and morbidity rates among very and extremely premature babies in Ternopil and Warsaw perinatal centers revealed key differences in approaches to caring for this category of patients, to identify perinatal and neonatal risks associated with an unfavorable prognosis, to suggest possible ways to improve quality medical care.

Author Biographies

I. M. Sarapuk, I. Horbachevsky Ternopil National Medical University

PhD, MD, Associate Professor of Pediatrics No. 2 I. Horbachevsky Ternopil National Medical University

H. A. Pavlyshyn, I. Horbachevsky Ternopil National Medical University

Doctor of Medical Sciences, Professor, PhD, MD,  Head of the Department of Pediatrics No. 2 I. Horbachevsky Ternopil National Medical University 

M.-K. Borshevska-Kornatska, Warsaw Medical University, Neonatology and Intensive Care Clinic

PhD, MD, Professor  Department of Newborns and Intensive Care, Warsaw Medical University, Poland   

O. V. Klishch, I. Horbachevsky Ternopil National Medical University

postgraduate student of the Department of Pediatrics No. 2 I. Horbachevsky Ternopil National Medical University

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Published

2020-06-29

How to Cite

Sarapuk, I. M., Pavlyshyn, H. A., Borshevska-Kornatska, M.-K., & Klishch, O. V. (2020). PROBLEMS OF CARING FOR PREMATURE BABIES AND POSSIBILITIES OF THEIR SOLUTION. Actual Problems of Pediatrics, Obstetrics and Gynecology, (1), 23–30. https://doi.org/10.11603/24116-4944.2020.1.11479

Issue

No. 1 (2020)

Section

PEDIATRICS

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