Full-Term Newborns Born in a Condition of Hypoxia

Materials and Methods: There were 49 patients and their children born in terms of 37-41 weeks in a state of hypoxia. 85.1% of puerperas were in the range from 18 to 35 years, 14.9% from 36 to 45 years. In 89.4% of women, pregnancy was singleton, in 10.6% - multiple (twins). Somatic anamnesis is burdened in 78.7% of patients with the most frequent detection of blood diseases (40.4%), cardiovascular (29.8%) and urinary systems (21.3%). In 36.2% of women revealed burdened obstetric and gynecological anamnesis. In 74.4% of patients, this pregnancy proceeded with complications, of which premature rupture of amniotic fluid (40.4%), the threat of termination of pregnancy at various periods (34%), hypertensive disorders, including pre-eclampsia and its complications deserve attention. 12.6%), placental insufficiency (12.7%), early toxicosis (19%).

Results: Boys were 61.5%, and girls-38.5%. 70% of children were born at 37-40 weeks of pregnancy, and 30% - 40-41 weeks.
When assessing the condition of newborns on the Apgar scale in children born at 37-40 weeks, 66.4% in the first minute and 16.9% in the fifth minute were diagnosed with mild hypoxia.

In children born at 40-41 weeks, in the first minute 33.1% were diagnosed with moderate hypoxia, and 44.6% - mild hypoxia. In the fifth minute mild hypoxia was diagnosed in 66.5%. The rest were in satisfactory condition. Among the complications of the early neonatal period of children born from 37 to 40 weeks was noted-cerebral depression syndrome in 20%, intrauterine infection in 17%, transient tachypnea-15%, congenital pneumonia-12%, jaundice – 5%.
Early neonatal morbidity in newborns born in the period 40-41 week, presented: cerebral depression syndrome - 25%, congenital pneumonia - 17%, intrauterine infection - 17%, meconic aspiration - 9%, cerebral excitability syndrome - 8%, jaundice - 8% .

Conclusion: Thus, the structure of early neonatal morbidity varies depending on the timing of delivery. Cerebral depression syndrome, congenital pneumonia and jaundice were more often diagnosed at 40-41 weeks. In the same interval, complications such as the syndrome of meconial aspiration and cerebral excitability were detected, which were not in the terms of 37-40 weeks.