Adaptation-Compensator Reactions and Psychomotor Development in Children with Delay of Perinatal Development

Abstract

Purpose.Study of the adaptation period of newborns with intrauterine growth retardation.

Material and methods.A prospective and follow-up observations as well as examination were conducted in 276 newborns: 236 of them were with intrauterine growth retardation and 40 healthy (control),in the following age periods: early neonatal period (5th-7th days of life); 1-6 months; 6-12 months; 12-24 months; 24-36 months were selected on the basis of ‘case-control’. We used the clinical-anamnesis and the follow-up method when research was conducted.During the clinical and medical examination analysis of the health status of the mothers were conducted, such as their obstetric and gynecological history, the course of pregnancy and childbirth, using histories of pregnancy and childbirth; with the follow-up method: the closest follow-up was analyzed (during the early and late neonatal period) and further for 3 years of life, that is, during the period of early childhood.

Outcome.The analysis showed that in the group of premature babies 78.9% of the babies were born at a gestational age earlier than 35 weeks. This can be affected on the peculiarities of the course of the adaptation period in the postnatal period, since it is precisely in the early neonatal period that adaptive reactions proceed with the greatest stress. Evaluation of anthropometric indicators of underweight children by the gestation period showed the need for careful monitoring of the health status of this category of children with the optimal organization of the nutrition structure, the necessary correction of diets, and the appointment of treatment and health measures.

Conclusion. Evaluation of the adaptation period of underweight children to the gestation period showed the need for careful monitoring of the health status of this category of children with the optimal organization of the nutrition structure, the necessary correction of diets, and the appointment of treatment and health measures.