NEONATAL OUTCOMES AND COMPLICATIONS IN EXTREMELY PRETERM BIRTHS
Keywords:
extremely preterm births, gestational age, stillbirth, mortality, complications of premature newbornsAbstract
Objective: A retrospective analysis of outcomes in premature newborns born from extremely early preterm births. Materials and methods. A retrospective analysis of 157 birth and neonatal development records of newborns born with a gestational age of 22 to 276weeks at the Republican Perinatal Center in Tashkent. Depending on the gestational age, the records were divided into two groups: group A (22 - 236 weeks) and group B (24-276 weeks). Studied survival and complications of premature newborns. Results: The stillbirth rate was 1.7 times higher in babies born with a gestational age of 22-236 weeks (31.2%) compared to those born at 24-276 weeks (17.7%). In group A the mortality rate was 8.1 times higher (63.6%) in the early neonatal period compared to the late neonatal period, and in group B it was 3.7 times higher (35.4%).Mortality in the group of newborns at a gestational age of 24-276 weeks was 2.1 times higher compared to newborns born at a gestational age of 22-236 weeks. Survivability was significantly influenced by such birth factors as body weight, Аpgar score at 1 and 5 min. Complications among surviving premature newborns such as bronchopulmonary dysplasia, retinopathy of prematurity, and early anemia of prematurity, occurred at equal rates in the compared groups. Conclusions: babies born at a gestational age of 22-236 weeks have a higher risk of mortality than those born at a gestational age of 24-276 weeks.
References
Приказ МЗ РУЗ № 21 О внесении изменения и дополнения в инструкцию о порядке выдачи медицинской справки о рождении, медицинского свидетельства о перинатальной смерти и смерти в учреждениях здравоохранения республики" от 27.01.2014
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