Article Text

PO-0433 Improving Quality Of Care And Rehabilitation Of Children With High Perinatal Risk
  1. O Riga1,
  2. T Znamenska2,
  3. T Kurilina2,
  4. I Kondratova1,
  5. A Penkov3,
  6. I Gordienko3,
  7. N Konovalova3,
  8. O Kizenko3,
  9. V Komova4,
  10. G Kukuruza5
  1. 1Pediatrics and Neonatology, Kharkiv National Medical University, Kharkiv, Ukraine
  2. 2Neonatology, Institute of Paediatrics Obstetrics and Gynaecology NAMS of Ukraine, Kiev, Ukraine
  3. 3Premature Center, Kharkiv Regional Spesialized Orphanage N1, Kharkiv, Ukraine
  4. 4Postintencive Care, Kharkiv Regional Clinic Hospital, Kharkiv, Ukraine
  5. 5EI, I "Early Intervention", Kharkiv, Ukraine

Abstract

Background and aims The neurological complication and delay of development occur in ne0nates of high perinatal group. Improve the level of patient satisfaction.

Methods The developmental assessment was performed in 60 VLBW infants and in 21 children with FAS. There were used Albert scale (gross motor) and KID - RSDI scale (cognitive, fine motor, speech and language, social and adaptive development).

Results The comorbidity of VLBW were following: retinopathy of newbon (10%); neurosensory deafness (3,3%), bronchopulmonary dysplasia (5%), congenital heart diseases (12,5%). The medical problems of FAS were intrauterine growth retardation (42,8%, p < 0,05), premature VLBW (28%, p < 0,05), congenital cataract (9,5%), congenital heart diseases (19%). There was significant delay of motor development (-2 mo) in VLBI (45%) compare in infants FAS (19%, p = 0,03). The delay of cognitive development were in 45% of VLBW and in 52,3% infants with FAS on the first year. Mean cognitive delay in VLBW was 3,1 mo; in infants with FAS – 3,9 mo (p > 0,05) at the first year of life, at the second year - 3,3 mo and 5,6 mo respectively (p < 0,05). From the total neonates (112) of high risk group only 81 have been include to early interventional program due to absence of communication between perinatal centre, primary care and rehabilitative service.

Conclusions The delay of motor development on the first year of life predominates in very low birth weight infants, the cognitive delay of development on the second years predominates in children with fetal alcohol syndrome. There was a significant risk of important information getting missed.

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