Barashnev Iu I, Sukhanova L P
Akush Ginekol (Mosk). 1993(5):11-4.
The authors analyze the development histories of 54 full-term newborns born in a satisfactory state, though in need of intensive care and rehabilitation at a special department for neonatal diseases. The absence of asphyxia at birth could not preclude a disease in the future. Analysis of mother's risk factors and neonatal disease permit a conclusion that babies born to mothers with a high-risk pregnancy even when born full-term should be singled out as a special group because of a high risk of disease development (intrauterine infection, cerebral disturbances, developmental defects, endocrine diseases, metabolic disorders, etc.). The most significant of mother's risk factors are reproductive function abnormalities (sterility, habitual abortions, a history of perinatal loss, etc.). Analysis of erroneous policy of neonatologists and late treatment start demonstrated that maternal risk factors should be more thoroughly assessed at childbirth.
作者分析了54名足月新生儿的发育史，这些新生儿出生时状况良好，但需要在新生儿疾病专科进行重症监护和康复治疗。出生时无窒息并不能排除日后患病的可能。对母亲的风险因素和新生儿疾病进行分析后可以得出结论，高危妊娠母亲所生的婴儿，即使是足月出生，也应因其疾病发展风险高（宫内感染、脑功能障碍、发育缺陷、内分泌疾病、代谢紊乱等）而被列为特殊群体。母亲最重要的风险因素是生殖功能异常（不育、习惯性流产、围产期丢失史等）。对新生儿科医生的错误政策和治疗开始较晚的分析表明，分娩时应更全面地评估母亲的风险因素。
