Some issues of the clinical course of central nervous system damage in newborns
https://doi.org/10.52888/0514-2515-2024-363-4-22-29
Abstract
Aim. To study the impact of risk factors on the development of brain damage in the perinatal period.
Material and methods. The work is based on a retrospective analysis of the medical documentation of the maternity hospital and the “mother and child” department of the state institution MC “Istiklol” in Dushanbe. The analysis included birth histories and developmental charts of newborns for the period from 2019 to 2021. In the process, data from statistical accounting form 32 “Report on medical care of pregnant women, women in labour, postpartum women and newborns” were used. Approved by the order of the State Statistics Service under the President of the Republic of Tajikistan No. 054 of 11 October 2013, the analysis covered the period from 2017 to 2021.
Results and discussion. The highest number of children with birth injuries in the republic over the five analyzed years was recorded in 2018, with 2,020 cases. In 2021, the total number of children with birth injuries was 1,879.
Over the five-year period, the incidence of birth injuries decreased by 20.9%; however, the number of affected children increased by 393 cases.
In the city of Dushanbe, the highest number of newborns diagnosed with intrauterine hypoxia was recorded in 2019, with 962 cases, accounting for 7.4% of all children born sick or who developed illnesses. In 2021, a decrease in the proportion of children born sick was observed, with a reduction rate of 53.3%.
Conclusions. An unstable trend in the reduction of the number of children born sick or who developed illnesses has been identified, with an increase in this indicator observed in 2021 compared to other years.
The proportion of children who experienced intrauterine hypoxia has shown a clear downward trend over the fiveyear period. The number of children born with asphyxia in Dushanbe exhibits a pronounced tendency toward reduction.
About the Authors
A. VokhidovTajikistan
Dushanbe
R. F. Abdurakhmanova
Tajikistan
Dushanbe
D. S. Khokiroev
Tajikistan
Khokiroev Dilovar Subkhonovich – M.D.; Neurologist
Dushanbe
N. N. Abidjanova
Tajikistan
Dushanbe
References
1. Barashnev Yu.I., Panov V.O., Rozanov A.V. Rol gipoksicheski-travmaticheskikh povrezhdeniy golovnogo mozga v formirovanii invalidnosti s detstva [The role of hypoxic-traumatic brain injury in the formation of disability from childhood]. Rossiyskiy vestnik perinatologii i pediatrii - Russian Bulletin of Perinatology and Pediatrics, 2006, No. 4, pp. 41-46.
2. Karina E.M. Nekotorye rezultaty otsenki dinamiki zabolevaemosti novorozhdennykh v organizatsiyakh rodovspomozheniya [Some results of assessing the dynamics of neonatal morbidity in obstetric organisations]. Meditsina i organizatsiya zdravookhraneniya - Medicine and Health Care Organization, 2019, No. 3, pp. 40-47.
3. Lugovykh N.A., Malinina E.V., Pirogova M.Yu., Yurkina N.V. Psikhonevrologicheskie posledstviya kriticheskikh sostoyaniy v perinatalnyy period (obzor literatury) [Neuropsychiatric consequences of critical conditions in the perinatal period (literature review)]. Uralskiy meditsinskiy zhurnal - Ural Medical Journal, 2015, No. 8, pp. 43-50.
4. Manapova R.M., Aliskandiev A.M., Omarova Kh.M. Kriticheskie sostoyaniya novorozhdennykh i ikh vliyanie na nevrologicheskiy status [Critical neonatal conditions and their impact on neurological status]. Uralskiy meditsinskiy zhurnal - Ural Medical Journal, 2018, No. 1, pp. 13-16.
5. Moiseeva K.E. Zabolevaemost novorozhdennykh v Rossiyskoy Federatsii [Morbidity of newborns in the Russian Federation]. Meditsina: teoriya i praktika - Medicine: theory and practice, 2019, No. 4, pp. 368-369.
6. Mochalova M.N., Mudrov V.A. Perinatalnaya smertnost: puti snizheniya i profilaktika na sovremennom etape [Perinatal mortality: ways of reduction and prevention at the present stage]. Zabaykalskiy meditsinskiy vestnik - Transbaikalian Medical Bulletin, 2018, No. 3, pp. 46-55.
7. Pavlinova E.B., Gubich A.A., Vlasenko N.Yu. Porazhenie tsentralnoy nervnoy sistemy u novorozhdennykh detey: novye vozmozhnosti personifitsirovannoy diagnostiki [Central nervous system damage in newborn infants: new possibilities of personalised diagnostics]. Sovremennye problemy nauki i obrazovaniya - Modern Problems of Science and Education, 2019, No. 6, pp. 30-39.
8. Pavlova N.G. Aktualnye problemy perinatologii – itogi 20 let issledovaniy laboratorii fiziologii i patofiziologii ploda [Actual problems of perinatology - results of 20 years of research of the laboratory of physiology and pathophysiology of the foetus]. Zhurnal akusherstvo i zhenskikh bolezney - Journal of Obstetrics and Women’s Diseases, 2010, Vol. 59, No. 1, pp. 51-56.
9. Pavlyukova E.V., Davydova I.V., Lazurenko S.B., Yatsyk G.V., Konova O.M., Zimina E.P. Vozmozhnosti profilaktiki i vosstanovitelnogo lecheniya posledstviy perinatalnogo porazheniya tsentralnoy nervnoy sistemy u nedonoshennykh detey [Possibilities of prevention and restorative treatment of the consequences of perinatal damage of the central nervous system in premature infants]. Pediatricheskaya farmakologiya - Pediatric Pharmacology, 2018, Vol. 15, No. 3, pp. 159-167.
10. Sokolovskaya A., Stupak V.S., Menshikova L.I., Postoev V.A. Zabolevaemost i prichiny smertnosti u nedonoshennykh i donoshennykh novorozhdennykh detey v Rossiyskoy Federatsii [Morbidity and causes of mortality in premature and full-term infants in the Russian Federation]. Ekologiya cheloveka - Human Ecology, 2021, No. 5, pp. 20-27.
11. Yuditskiy A.D., Kovalenko T.V., Petrova I.N. Osobennosti perinatalnogo perioda u novorozhdennykh razlichnogo gestatsionnogo vozrasta s zaderzhkoy vnutriutrobnogo razvitiya [Peculiarities of the perinatal period in newborns of different gestational ages with intrauterine developmental delay]. Permskiy meditsinskiy zhurnal - Perm Medical Journal, 2019, Vol. 36, No. 4, pp. 21-26.
Review
For citations:
Vokhidov A., Abdurakhmanova R.F., Khokiroev D.S., Abidjanova N.N. Some issues of the clinical course of central nervous system damage in newborns. Health care of Tajikistan. 2024;(4):22-29. (In Russ.) https://doi.org/10.52888/0514-2515-2024-363-4-22-29