Saratov JOURNAL of Medical and Scientific Research

Prokopenko L.E.

Saratov Perinatal Centre, Deputy Chief Physician in Neonatology

A rare medical case in neonatal practice: congenital malformation and spontaneous rupture of the stomach wall

Year: 2015, volume 11 Issue: №2 Pages: 164-167
Heading: Pediatrics Article type: Case report
Authors: Chernenkov Yu.V., Lavrova D.B., Panina O.S., Prokopenko L.E., Larshina E.P., Shikhanova S.V., Belyaeva N.A.
Organization: Perinatal Centre, Saratov , Saratov Clinical Hospital № 8, Saratov State Medical University
Summary:

Congenital malformation is one of the most common causes of infant mortality. The Russian Healthcare Ministry has approved a wide range of measures to decrease the number of babies born with malformations. Due to the measures taken, prenatal diagnostics of such malformations as cardiac malformation, nervous system malformation, various space occupying lesions has become more effective. However, there is a number of malformations hardly detected until the birth. This problem also concerns some abnormalities of the gastrointestinal tract. One of such malformations "silent" during prenatal diagnostics is, particularly, focal aplasia of the stomach muscular layer. This work deals with the case of such malformation observed in a newborn baby.

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Experience in application of enriched breast milk in feeding children with very low birth weight

Year: 2014, volume 10 Issue: №4 Pages: 623-626
Heading: Pediatrics Article type: Original article
Authors: Panina O.S., Chernenkov Yu.V., Arkhangelsky S.M., Prokopenko L.E.
Organization: Perinatal Centre, Saratov , Saratov State Medical University
Summary:

Nursing of very low and extremely low birth weight infants is one of the most difficult problems of modern perinatol-ogy. It is impossible to carry out this task without organization of fee-ding of this group of children. The aim of our research was to study clinical efficiency of breast milk fortifiers administration (human milk fortifier) when preterm infants feeding. Materials and methods. In consequence of this clinical research (with included 60 premature infants born at less than 33 weeks of gestational age with less than 1500g birth weight) the following advantages before other types of feeding were revealed. Results. Mother and child solidarity in the course of breast feeding make deep favorable mutual emotional pressure. It was succeeded to keep all breast feeding advantages and to provide preterm infants special needs in feedstuffs. Human milk fortifiers administration provides higher body weight gain intensity; reduces length of stay in a hospital. It should not go unnoticed high tolerability and lack of complications at its medication usability was noted. Human milk fortifier divorce with small quantity of breast milk and that is especially important for very low and extremely low birth weight infants feeding. Conclusion. All above-mentioned allows recommending human milk fortifiers «PRE NAN FM 85» administration for breast milk in neonatal practice

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