Состояние здоровья и ранняя адаптация новорожденных родившихся тазовом предлежании»

Аннотация

Subjects of the inquiry: 96 pregnants with fetuses with breech presentation and their newborns. Aim of the inquiry: To study the features of the early adaptable period and health of newborns with breech presentation in interrelation with natal traumas of brain and spinal cord. Methods of inquiry: clinical-anamnestic, general clinical methods of investigation, USE-fetometry, dopplerography of vessels of uterus and umibilical cord, X-ray examination, neurosonography and statistics. The results achieved and their novelty. In comparative aspect with sorts at head presentation and maternal factors promoting and expeting to sorts in breech presentation are established. In the first it was established that in mechanisms of sorts with breech presentation fetal factors resulting to often traumas of cervical, chest and lumbar parts of spinal cord and backbone of newborn are considtrably concentrated. It is established that early neonatal period of newborn with breech presentation is considerably burdened with perinatal disease ahd deterioration of their health in connection with high frequency of cases of defeat of brain and spinal cord. Practical value. In the work, opportunities of using US-fetrometry, doppleromctry of vessels о utero-placentral system and cardiotocography are shown, for definition the functional condition of tetus in anti- and intranatal period, parameters which allow pediatricians (together with obstetricians) to determine timeliness obstetric manipulations were taken into account. Degree of embed and economic effectivity. The results obtained have been introduced in the practical activity of delivery rooms and newborn maternity complexes of Andizhan city. Besides, they have been introduced in the working process of newborn pathological and caring departments of hospitals of Andizhan, Fergana and Namangan regions. Those introductions improved the diagnosticprocesses of defeats of brain and spinal cord of newborn with breech presentation, allowed to decrease perinatal illnesses and infant morlatity and invalidity. Sphere of usage: Pediatrics, neonatology, pediatric neurology, obstetrics and ginecology.