ARCHIVEOBSTETRICS AND GYNECOLOGY
International Medical Journal, Vol. 20., Iss. 4, 2014, P. 41−44.
PRETERM BIRTH: THE EXPERIENCE OF KHARKIV REGIONAL CLINICAL PERINATAL CENTER OF CLINICAL CARE FOR PREMATURE INFANTS
Kharkiv Regional Clinical Perinatal Center, Ukraine
Delivery is considered premature from week 22 to week 37 of pregnancy and ends with the birth of a premature baby. In the world, miscarriage occupies the first place among the causes of perinatal morbidity and mortality due to various causes of miscarriage, infection, injury, congenital malformations of the fetus, psychological, social and other factors. A differentiated approach to management of pregnant women with premature membrane rupture and threat of preterm labor is necessary. Depending on the gestational age, clinical data, laboratory findings, assessment of fetus state, expectant management or labor induction are chosen, the question of the use of tocolytics, antimicrobials, corticosteroids is solved. The question of the time, manner and method of delivery is solved individually in each case by the prenatal consultation. Expert−class artificial ventilation equipment, exogenous surfactants, parenteral nutrition, and the use of breast milk as early as possible with addition of fortifiers play an important role in survival rate improvement. Despite development of new methods of diagnosis and treatment of miscarriage, nursing preterm infants with extremely low birth weight requires a huge effort of obstetricians, anesthesiologists, neonatologists to get a positive result, i.e., survival of these children.
Key words: premature birth, etiopathogenesis, diagnosis, treatment, prevention, preterm infants.