N.L. CHERNAYA¹, G.S. MASKOVA¹, V.M. GANUZIN¹, E.A. ERMOLINA²

¹Yaroslavl State Medical University of the MH of RF, 5 Revolyutsionnaya Str., Yaroslavl, Russian Federation, 150000

²Regional Perinatal Center, 31v Tutaevskoe highway, Yaroslavl, Russian Federation, 150042

 Chernaya N.L. – D. Sc. (medicine), Professor, Head of the Department of Outpatient Pediatrics, tel. (485) 235-66-92, e-mail: nlch@mail.ru, ORCID ID: 0000-0003-2647-0679

Maskova G.S. – PhD (medicine), Associate Professor of the Department of Outpatient Pediatrics, tel. (485) 235-66-92, e-mail: maskovags@mail.ru, ORCID ID: 0000-0002-8336-7750

Ganuzin V.M. – PhD (medicine), Associate Professor of the Department of Outpatient Pediatrics, tel. (485) 235-66-92, e-mail: vganuzin@rambler.ru, ORCID ID: 0000-0002-7436-6182

Ermolina E.A. – Head of the Outpatient Department for young children, tel. (485) 278-91-50, e-mail: lerm0402@rambler.ru, ORCID ID: 0000-0003-3010-4727

Objective: a comparative assessment of the dynamics of physical development (PD) of children born from the 26th to the 34th week of gestation using different standards and growth regulations of premature babies.

Materials and methods: A prospective observation of the growth dynamics of 66 premature babies during 12 months of their postnatal development was conducted. The risk factor of preterm infants from birth to the 50th week of gestational age was estimated using nomograms proposed by Fenton TR (2013); from the 51st week of gestational age and up to 12 months — according to WHO standards for full-term babies, taking into account the “adjusted” age using the WHO Anthro software. In addition, a comparative assessment of the growth of premature babies from birth to the 64th week of postmenstrual age was made using postnatal growth standards proposed in the INTERGROWTH-21^st project.

Results: PD of premature babies, determined by different standards, was characterized by disharmony during the first year of life. We found significant differences in the estimated PD of children who have been born prematurely, and estimation was performed using different methods.

Conclusion: Transition to a unified system for assessing the growth of premature babies is necessary.

Key words: children, premature, physical development, assessment methods.

(For citation: Chernaya N.L., Maskova G.S., Ganuzin V.M., Ermolina E.A. Comparative evaluation of postnatal growth of premature babies using different regulations and standards. Practical Medicine. 2018)

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