E.V. VOLIANYUK^1, 2, A.M. ZAKIROVA³

 ¹Municipal Children’s Clinical Hospital № 1, Kazan

²Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

³Kazan State Medical University, Kazan

Contact details:

Volianyuk E.V. — PhD (medicine), Head of the City Center for Catamnesis, Associate Professor of the Department of Pediatrics and Neonatology

Address: 39 Mushtari St., Russian Federation, Kazan, tel.: +7 (843) 562-52-66, e-mail: volanuk@mail.ru

The purpose — to promote neonatologists’ knowledge of borderline conditions in late-term premature infants during the adaptation period for timely implementation of disease prevention measures.

Material and methods. 130 children in neonatal period were observed in Children’s Hospital № 1 in Kazan. The main group consisted of 87 late-term premature infants, the comparison group included 43 full-term newborns.

Results. In late-term premature infants, borderline states included neonatal jaundice at almost twice higher rate than in full-term children; other states included neonatal tremor, impaired thermoregulation, hypoglycemia, and intestinal colic.

Conclusion. Knowledge of borderline states and their clinical manifestations in late-term premature infants, a thorough differentiated integrated approach, and adherence to their observation algorithm allow for their adequate correction and timely exclusion of the emerging pathological changes that require special examination and treatment.

Key words: late-term premature infants, borderline conditions.

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