Saratov JOURNAL of Medical and Scientific Research

Premature infants' health at multiple induced pregnancy.

Year: 2015, volume 11 Issue: №3 Pages: 305-309
Heading: Pediatrics Article type: Original article
Authors: Chernenkov Yu.V., Nechaev V.N., Stasova Yu.V., Tereshenko V.A.
Organization: Saratov State Medical University

Objective: to define the risk factors adversely influencing prenatal development at premature birth at use of methods of assisted reproductive technology (ART); to estimate premature' infants health from multiple induced pregnancy according to Perinatal Center of Saratov for last 3 years. Material and Methods. Under supervision there were 139 pregnant women with application ART. 202 children (51 twins were born and 5 triplet babies), from them 83 premature infants born from multiple induced pregnancy have been analyzed. Results. The newborns examined by method ART, were distributed as follows: 22-28 weeks — 19 children; 29-32 weeks — 23; 33-36 weeks — 41. Asphyxia at birth was marked at all premature infants. Respiratory insufficiency at birth is revealed in 87,3% of cases. The most frequent pathologies in premature infants are revealed: neurologic infringements and bronchopulmonary pathology occured at all children, developmental anomaly — 33, 8%, retinopathies in premature infants — 26,5%. The mortality causes include: extreme immaturity, cerebral leukomalacia, IVN 3 degrees. Conclusion. The risk factors, premature birth at application of methods ART are revealed: aged primiparas, pharmacological influence, absence of physiological conditions of prenatal development; multifetation. The high percent of birth of children with ELBW and ULBW is revealed. RDCN with further BPD development, retinopathies in premature infants and CNS defeat is more often occured.

1. Volodin NN, ed. Neonatology (the national management). M.: GEOTAR-media, 2007; 847 p.
2. Sidelnikova VM. Preterm of pregnancy: a modern view on a problem. Russian messenger of the obstetrician-gynecologist 2007; (2): 62-64
3. Demyanova TG, Grigoryants LY? et al. Supervision of the stages of premature children. M.: Medpraktika, 2006; 36-80
4. Doornbos ME, Mass SM, McDonnell J, Vermeiden JP, Hennekam RC. Infertility, assisted Reproduction technologies and imprinting disturbances: a Dutch study. Hum Reprod 2007; 22 (9): 2476-2480
5. Elder K, Dale B. In vitro fertilization. Cambridge University Press, 2000; 96-289 p. 6. Peter TK, Chan MD, Marc Goldstein MD, Zev Rosenwaks MD. Reproductive Medicine Secrets. Hanley & Belfus, INC, 2004; 269-352 p.
7. Kulakov VI, Barashnev VI, eds. High-risk newborn infants. M.: GEOTAR-media, 2006; 376-399
8. Volodin NN, et al., eds. The basic help to the newborn: the international experience. M.: GEOTAR-media, 2008; 203 p.

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