HEALTH OF WOMAN. 2016.1(107):176–179 
 

Analysis of perinatal pathology in children born with very low birth weight and the condition of their mothers 
 

Shunko Ye. Ye., Bielova O. O., Laksha O. T., Orlova T. O., Starenka S. Ya.

National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev

National children's specialized hospital «OKHMATDYT», Kyiv 
 

Objective: to study social, medical, obstetrics and gynecological anamnesis, the course of pregnancy and delivery in mothers of newborns with VLBW and ELBW; to define main perinatal pathology in kids with VLBW and ELBW. 
 

Patients and methods. Social, medical, obstetrics and gynecological anamnesis, the course of pregnancy and delivery studied in mothers of newborns with VLBW (n=92) and ELBW (n=34); main perinatal pathology defined using medical documentation. 
 

Results. Intrauterine development of kids with VLBW and ELBW occurred under unfavourable conditions – 62.7% of mothers had chronic somatic illnesses. 52.4% of mothers had extragenital pathology, 27% – genital pathology, 16.7% – combined extrauterine and genital pathology. In comparison with kids with VLBW, kids with ELBW had more cases (p<0,05) of perinatal pathology of central nervous system, auditory analyzer, required long treatment in neonatal intensive care units with more frequent and longer mechanical ventilation due to congenital pneumonia, more frequent blood transfusions, surgical treatment (mainly retinal laser coagulation). 
 

Conclusion. Main perinatal pathology in kids with VLBW and ELBW is central nervous system damage, perinatal infection with development of congenital pneumonia, bacterial sepsis, necrotizing enterocolitis, which required long treatment in neonatal intensive care unit using mechanical ventilation; increased risk of developing chronic diseases of pulmonary system, visual and auditory analyzers, central nervous system. 
 

Key words: newborns, mothers, very low birth weight (VLBW), extremely low birth weight (ELBW), premature newborns, perinatal pathology, extragenital pathology, genital pathology. 
 

REFERENCES

1. Kharchenko T. 2012. The number of preterm deliveries is increasing in Ukraine. umj.com.ua (electronic resource). Available at: http://www.umj.com.ua/article/41301/v-ukraine-uvelichivaetsya-kolichestvo-prezhdevremennyx-rodov

2. Shunko YeYe, Bielova OO, Putkaradze RV. 2015. Modern strategies of enteral feeding of very low birth weight infants (literature review). Young Scientist 4(19);3:82-86. electronic resource. Available at: http://molodyvcheny.in.ua/files/journal/2015/4/93.pdf

3. Shunko YeYe, Laksha OT, Bielova OO, Konchakovska TV, Orlova TO, Korol OG, Starenka SYa. 2010. Ways of development of neonatology in Ukraine in the XXI-st century – implementation of world standards in delivery of health care for small premature infants and their future medical social rehabilitation. Modern pediatrics 1(29):10-12. electronic resource. Available at: http://med-expert.com.ua/upload/iblock/095/sp_01_2010_web.pdf