Actualitatea, cauzele principale şi consecinţele naşterii

Abstract

Premature birth is one of the most important problems of protection of mother and child’s health, because it determines a high level of perinatal death and morbidity, in spite of the social and economic level of development of the country and the level of perinatal assistance. The frequency of premature birth is various on the Earth, one statistic says 1,67% - 24,7% (with an average of 6, 85%), another 4,2% - 34,4% (with an average of 11,2%) and this indicators doesn’t decrease last 20 years. Weight of premature born infants in Republic of Moldova differs from 1,9% to 7,2%, average consist in 2007 – 4,8%, thing caused by registration of premature born from 22 weeks in the world, but in Moldova from 28 weeks. In concordance to foresights of Action plan of Moldova – UE starting from 01.01.2008, RM will register in official statistics birth and children born with mass – 500g and 22 weeks of gestation. Very often (55,3%) premature birth take place in period of 33-36 weeks of pregnancy, in period of 28-32 weeks in 39%, and in period of 22-28 weeks births takes place in 5,7% of cases. The mortality in premature birth is in 8-13 times usually and neonatal mortality among premature children consist 60-70%. The incidence of new born infants at premature is more than 238 6,5 times higher than at normal term and it differs from 1134,2 in 2002 till 1280,6 in 2006 and the incidence of new born infants at normal term differs from 221,7 in2002 till 194,4 in 2006. This problem must be supposed to an detailed scientific and practice examination for proposing for all women in reproductive age, with reproductive loses in anamnesis to be examined for 6,5 times higher than at normal term and it differs from 1134,2 in 2002 till 1280,6 in 2006 and the incidence of new born infants at normal term differs from 221,7 in2002 till 194,4 in 2006. This problem must be supposed to an detailed scientific and practice examination for proposing for all women in reproductive age, with reproductive loses in anamnesis to be examined for determining the causes of perinatal pathologies and preparation of couples for next pregnancy.