Long-term neuropsychiatric outcomes of deeply premature infants, prospects for diagnosis and correction

• Main Authors: A. I. Safina, E. V. Volyanyuk
• Format: Article
• Language: Russian
• Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2020-11-01
• Series: Rossijskij Vestnik Perinatologii i Pediatrii
• Subjects: deeply premature child; extremely low body weight; brain lesions; intraventricular hemorrhages of 3-4 degree; periventricular leukomalacia; bronchopulmonary dysplasia; outcomes
• Online Access: https://www.ped-perinatology.ru/jour/article/view/1265

Objective: to study long-term neuropsychiatric outcomes in deeply premature infants with neonatal complicationsMaterial and methods. The authors analyzed long-term neuropsychiatric outcomes during a three-year follow-up of 97 children born with a weight less than a 1000g in the department of catamnesis of premature children.Results. The authors found the following predictors of the development of chronic pathology in a premature children: extremely low body weight at birth, long-term (more than 30 days after birth) use of additional oxygen, intraventricular hemorrhages of 3—4 degree and periventricular leukomalacia, the formation of broncho-pulmonary dysplasia in combination with low rates of physical (less than 10 centiles) and psychomotor development by 12 months of corrected age. The most significant factors that have a protective effect on the brain include: breastfeeding, protective regimen, developmental techniques, minimization of post-neonatal infection, prevention of broncho-pulmonary dysplasia.Conclusion. The study of the health of deeply premature children during their first three and even more years of life is necessary to develop measures to improve antenatal, obstetric and neonatal care in order to increase survival and reduce disability among premature babies.