Home – Home – Jornals – Siberian Scientific Medical Journal 2020 number 1

The purpose of the study
was to investigate the main factors predisposing to the birth of
children at gestational age of 34-36 weeks, the features of the course
of the neonatal period, the structure of morbidity and mortality in the
conditions of the regional perinatal center. Material and methods. A
retrospective analysis of 380 medical records of an inpatient patient of
the Regional Perinatal Center of State Novosibirsk Regional Clinical
Hospital born on a gestational age of 34-36 weeks for 2017-2018 was
performed. Results and discussion. All women with premature late
delivery had a burdened somatic and/or obstetric-gynecological history.
70 % of women were delivered by surgery. The anthropometric
characteristics of late preterm infants in 85 % of cases corresponded to
gestational age, in most of them the neonatal period proceeded with the
development of respiratory disorders, hyperbilirubinemia, and low
tolerance to enteral nutrition. Children with less gestational age
needed respiratory support for a longer time. Due to the difficult
condition at birth, about 40 % of the children were transferred from the
maternity ward to the intensive care unit of the newborn. A quarter of
late premature infants received medical care exclusively in a maternity
hospital. The mortality rate was 1 %. Thus, late premature babies are a
special category of newborns, when nursing which it is necessary to
carry out timely diagnosis of pathological conditions, as well as the
prevention of adaptation disorders, especially in the early neonatal
period.