E.V. VOLYANYUK^{1, 2}

 ¹Kazan State Medical Academy — Branch Campus of RMACPE MH Russia, Kazan

²Kazan Children’s Clinical Hospital № 1, Kazan

 Contact details:

Volyanyuk E.V. — Ph. D. (medicine), Associate Professor of the Department of Pediatrics and Neonatology, Head of the City Center for premature newborns

Address: 36 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7 (843) 562-52-66, e-mail: volanuk@mail.ru

The purpose — to study the results of a three-year observation of children born with a weight of less than a thousand grams in the Center for Follow-up of premature babies.

Material and methods. Analysis of the health status of 97 children born with ELBW from the age of 1 to 3 years, of which 61 are children of the second and third years of life under regular monitoring.

Results. A high level of neurological and respiratory pathology of children was revealed, as well as a delay in physical development in the first year of life. At 2–3 years of life, severe neurological consequences persisted in 15% of children, frequent respiratory morbidity in 20%, and a decrease in physical development was recorded in every second child.

Conclusion. The data obtained confirm the need for post-neonatal monitoring of premature babies in order to minimize the disabling consequences through timely rehabilitation.

Key words: premature babies, extremely low body weight, follow-up.

(For citation: Volyanyuk E.V. Results of monitoring of morbidity and developmental outcomes by 3 years of age in premature infants born with extremely low body weight. Practical Medicine. 2019. . Vol. 17, № 5, P. 175-179)

REFERENCES

1. Safina A.I., Volyanyuk E.V., Potapova M.V., Fisheleva T.S. The health status of children born prematurely, according to the city center of medical history of Kazan. Rossiyskiy vestnik perinatologii i pediatrii, 2018, vol. 63, no. 5, pp. 192–197 (in Russ.).
2. Sakharova E.S., Keshishyan E.S., Ziborova M.I. The long-term effect of prematurity on the post-neonatal formation of neurohumoral regulation. Rossiyskiy vestnik perinatologii i pediatrii, 2016, vol. 61, no. 1, pp. 27–32 (in Russ.).
3. Franz A.R., Pohlandt F., Bode H. Intrauterine, early neonatal and postdischarge growth and neurodevelopmental outcome at 5,4 years in extremely preterm infants after intensive neonatal nutrition support. Pediatrics, 2009, vol. 123, rr. 101–109.
4. Baybarina E.N., Antonov A.G., Ionov O.V. The early use of nasal DSTAP with variable flow in premature infants with gestational age 28–32 weeks. Intensivnaya terapiya, 2006, no. 2 (in Russ.), available at: http://www.icjcorp.ru/2006-02-06
5. Mercier C.E., Dunn M., Ferrelli K.R. et al. Neurodevelopmental outcome of extremely low birth weight infants from the Vermont Oxford Network: 1998–2003. Neonatology, 2010, vol. 97, pp. 29–338.
6. Burkova AS., Volodin N.N., Zhurba L.T., Medvedev M.I., Rogatkin S.O., Timonina O.V. Classification of perinatal lesions of the nervous system and their consequences in children of the first year of life: guidelines of the Russian Association of Perinatal Medicine Specialists. Voprosy prakticheskoy pediatrii, 2006, vol. 1, no. 5, pp. 38–70 (in Russ.).
7. Davydova I.V., Yatsyk G.V., Pavlyukova E.V. Comprehensive rehabilitation of children of the first year of life with the consequences of perinatal pathology: a neonatologist’s view. Kompleksnaya reabilitatsiya mladentsev s perinatal’noy patologiey v usloviyakh pediatricheskoy praktiki: sovremennye vozmozhnosti i perspektivy razvitiya, 2016, no. 27 (in Russ.).