Organization principles of nursing and catamnesis of extremely low birth weight infants in Perinatal Centre
AbstractAim. Following the results of children treatment and nursing the authors decided to improve perinatal outcomes among of extremely low birth weight (ELBW) infants at 22–28 weeks gestation in the Ural Research Institute of Maternity and Infancy Care for the period 2010–2013.
Materials and methods. Authors performed monitoring of 241 live born babies (ELBW, birth weight 500–999 g) and created the electronic formalized card, which provide the basis for follow-up monitoring in children at II and III stages of nursing.
Results. Data on the frequency of infant deaths in ELBW groups (23,6 %), including such weight groups as: 500–749 g (39,1 %) and 750–999 g (12,6 %) were obtained. The frequency of residual pathology in children with ELBW who survived did not depend on birth weight: infantile cerebral paralysis (ICP) in groups was noted in 17,4 % and 20,4 %; bronchopulmonary dysplasia (BPD) – 26,9 % and 23,4 %; atrophic hydrocephalus – 30,1 % and 32,5 %. Monitoring system implementation in perinatal center allows for hospital observation (daytime or 24-hour) and treatment of ELBW children.
Conclusion. The three-level system of ELBW children nursing in perinatal center is required with follow-up monitoring in children at III stage of nursing that will minimize the residual effects of neonatal diseases.
Keywords:extremely early preterm birth, extremely low birth weight, mortality, medical aid organisation, perinatal centre, catamnesis