N.KH. GABITOVA, I.N. CHEREZOVA, A.I. VASINA

 Kazan State Medical University of the Ministry of Health of Russia, Kazan

Contact details:

Gabitova N.Kh. — PhD (medicine), Associate Professor of the Department of Hospital Pediatrics

Address: 140 Orenburgskiy trakt, Kazan, Russian Federation, 420059, tel.: +7 (843) 269-67-69, e-mail: borismk1@rambler.ru

Smoking tobacco and consumption of nicotine containing products are a serious medical, social and economic problem throughout the world, as is the consumption of alcoholic beverages. The habit of smoking often develops in adolescence, forming the main contingent of chronic smokers in the future. Smoking during pregnancy increases the risk of perinatal morbidity and mortality by 27%. Children born to smoking mothers are characterized by neonatal adaptation disorders, which become pathological when exposed to tobacco metabolites (nicotine, carbon monoxide, etc.). The most common forms of neonatal adaptation disorder are toxic-metabolic encephalopathy, cerebral ischemia, respiratory disorders and intrauterine growth retardation. The clinical cases presented in the article demonstrate the negative impact of smoking on the adaptation period in the form of respiratory disorders, resulting in unreasonable prescription of an antibacterial drug, and brain damage with a fatal outcome due to chronic nicotine intoxication.

Key words: newborn child, chronic nicotine intoxication, fetal tobacco syndrome.

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