Email this article COMPARATIVE CHARACTERISTICS OF THE NEUROLOGICAL STATUS OF INFANTS BORN IN THE I AND II PHYSIOLOGICAL POSITIONS
- Authors: Morozova E.A.1, Petrova A.V.1,2, Khasanov A.A.1,2,3
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Affiliations:
- Department of Pediatric Neurology, Kazan’ State Medical Academy, Ministry of Health of Russia
- Pediatric Consultation Polyclinic, Kazan’ City Children’s Hospital No 8
- Obstetrics and Gynecology Department No 1, Kazan’ State Medical University, Ministry of Health of Russia
- Issue: Vol 11, No 3 (2016)
- Pages: 22-31
- Section: AUTHENTIC ARTICLES
- Published: 30.11.2016
- URL: https://rjdn.abvpress.ru/jour/article/view/164
- DOI: https://doi.org/10.17650/2073-8803-2016-11-3-22-31
- ID: 164
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Abstract
Objective: to provide the comparative characteristics of neurological impairments in infants born in the I and II obstetric positions and to follow them up in the neonatal period.
Subjects and methods. A total of 133 infants born by vaginal delivery at 38–41 weeks» gestation in 2014 to 2016 were followed up. All the examinees were divided into 2 groups: 1) 71 neonates born in the I obstetric position; 2) 62 babies born in the II position. Their clinical examination encompassed an analysis of the course of delivery, neurological examination of the newborn in the first hours of life with a subsequent follow-up evaluation at the time of his/her discharge from the maternity unit.
Results and discussion. The examined groups were comparatively analyzed in terms of a number of indicators. The data of objective neurological examination showed a significant difference in some symptoms: cephalohematoma and torticollis were more common in the group of infants born in the II position. Comparison of the frequency of neurological impairments at different follow-up stages (at birth and at discharge from the maternity unit) revealed their statistically significant reduction in both groups. However, the frequency of neurological symptoms among Group 1 infants (born in the I position) at their discharge from the maternity unit was significantly reduced (from 77.5 to 38.0 %; p < 0.001), and those in Group 2 infants (born in the II position) substantially unchanged (from 87.1 to 79.0 %; p = 0.125). The slight regression of neurological symptoms in Group 2 suggests that intranatal nervous system damage is more severe in the infants born in the II position.
Conclusion. To define the position of a fetus during labor is an important component in the prevention of intranatal injuries
About the authors
E. A. Morozova
Department of Pediatric Neurology, Kazan’ State Medical Academy, Ministry of Health of Russia
Author for correspondence.
Email: ratner@bk.ru
11 Mushtari St., Kazan’, 420012 Russian Federation
A. V. Petrova
Department of Pediatric Neurology, Kazan’ State Medical Academy, Ministry of Health of Russia;Pediatric Consultation Polyclinic, Kazan’ City Children’s Hospital No 8
Email: fake@neicon.ru
11 Mushtari St., Kazan’, 420012
11 Bari Galeeva St., Kazan’, 420061
Russian FederationA. A. Khasanov
Department of Pediatric Neurology, Kazan’ State Medical Academy, Ministry of Health of Russia;Pediatric Consultation Polyclinic, Kazan’ City Children’s Hospital No 8;
Obstetrics and Gynecology Department No 1, Kazan’ State Medical University, Ministry of Health of Russia
Email: fake@neicon.ru
11 Mushtari St., Kazan’, 420012
11 Bari Galeeva St., Kazan’, 420061
49 Butlerova St., Kazan’, 420012
Russian FederationReferences
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