gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Management of preterm labor of very low birth weight infant



Aim. The evaluation of the effect of transfer and its distance with respect to the cardiovascularsystem and its complications such as peri/intraventricular haemorrhages.Material and methods. Enrolled in the study were all preterm newborns with the developmentlevel of ≤30. week of gestation (g.w.), born from 01/06/2006 to 31/12/2008 and admitted tothe Clinic within the first 72 hours of life. For the purpose of the comparison of the quali-tative variables Fisher’s test of the chi-square test for trend were applied, while for quanti-tative variables – Student t test was used. The model of logistic regression was also estimated.Results. Cardiovascular insufficiency eligible for treatment was diagnosed in 50 patients, whichto 65% of the examined population. The risk of cardiovascular insufficiency is 3,77-fold higherfor newborns transferred over a distance of < 20 km and 5.28-fold higher for newborns trans-ferred over 20-100 km as opposed to newborns transferred within a distance < 1km. In neo-nates affected by cardiovascular insufficiency peri/intraventricular haemorrhages occurred atrate higher with a statistical significance, including the most severe cases, i.e., of the III orIV degree (48%) as opposed to 4% in a group who did not require any treatment (p<0,001).Conclusions. The key risk factors of hypotension include: gestational age, body weight as wellas transfer of newborns; This demonstrates the necessity to perform transfer “in utero” in caseof pregnancies below < 30. week of gestation. In a group of newborns affected by cardiova-scular insufficiency IVH of the III or IV degree, likely to affect the infants’ further develop-ment, occurred at a rate higher with statistical significance.