Rehabilitation of newborns and infants under one year of age who have suffered moderate to severe asphyxia during childbirth
https://doi.org/10.66825/2949-4664-apps-4-1-57-65
Abstract
Asphyxia in birth among full-term newborns is one of the most common causes of neonatal morbidity and mortality in the majority of countries around the world. Prolonged oxygen deprivation in the foetus leads to developmental delays and causes dystrophic changes in the brain structures, including the respiratory and vasomotor centers. About 15–20% of such newborns die during the neonatal period, and 25% of survivors have neurological disorders of varying severity. Longterm outcomes of acute asphyxia during childbirth and subsequent hypoxic-ischemic encephalopathy (HIE) in infancy also lead to delayed psychomotor and speech development, cortical blindness, sensorineural hearing loss, epilepsy, cerebral palsy, and often to death. The aim of the review: on the basis of the modern literature references, to demonstrate the effectiveness of the early continuous rehabilitation of newborns who have suffered from moderate to severe asphyxia. The analysis of 37 Russian and foreign articles published during last 10 years was performed. The use of comprehensive rehabilitation programs as early as possible, as well as ensuring the continuity of rehabilitation treatment for children who have suffered from moderate to severe asphyxia, will allow to achieve the most effective results in reducing neurological deficits, severe outcomes, and disability in this cohort of children.
About the Author
M. A. Pozdnyakova
Research and Clinical Institute of Childhood of the Ministry of Health of the Moscow Region; Moscow Regional Perinatal Center of the Ministry of Health of the Moscow Region
Russian Federation
Competing Interests:
Russian Federation
Maria A. Pozdnyakova, neurologist, functional diagnostics specialist at the Moscow Regional Perinatal Center of the Ministry of Health of the Moscow Region, researcher at the Department of Neonatal Medicine and Cognitive Development at the Research and Clinical Institute of Childhood of the Ministry of Health of the Moscow Region
Building 1, 24а Kominterna stг., Mytishchi, Moscow region, Russia, 141009
12 Entuziastov highway, Balashikha, Moscow region, Russia, 143900
Competing Interests:
The author declares no conflict of interest.
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Review
For citations:
Pozdnyakova M.A. Rehabilitation of newborns and infants under one year of age who have suffered moderate to severe asphyxia during childbirth. Archives of Pediatrics and Pediatric Surgery. 2026;4(1):57-65. (In Russ.) https://doi.org/10.66825/2949-4664-apps-4-1-57-65
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