Risk Factors for Purious-Septic Incidence in Newborn
Purpose: Identification of biomedical and socio-economic factors contributing to the development of sepsis and pyoinflammatory diseases in newborns. Material and Methods: Using specially designed questionnaires, we analyzed hospital records, extracts from the history of childbirth, and collected information about 460 children. Of these, 282 children had a septic process and 98 had local pyoinflammatory diseases (pyoderma, omphalitis, etc.). The control group consisted of 80 children who did not get sick until 6 months of age. For mathematical processing of the collected material, Pearson's goodness-of-fit test x2 was used. Results:In both groups of patients, the influence of such social and hygienic factors as the material security of the family (x2 = 21,1; p 0,05). Where mothers did not rest during maternity leave or did not use it at all due to premature birth, both diseases occurred: x2 = 3,8; x2 = 6,32; p0,05. According to our data, the effect of benefits during delivery on the purulent-septic morbidity of newborns is not traced (x2 = 0,01; x2 = 5,5; p>0,05), but there is a clear connection with the weakness of labor activity, protracted childbirth (x2=10,7; p0,05). The association of septic and pustular morbidity in newborns with the duration of the anhydrous period with premature discharge of amniotic fluid (x2 = 18,07; x2 = 21,46; p0,05). The article also discusses a number of other biomedical and social factors affecting the purulent-septic morbidity of newborns. These data allow us to identify the contingent of newborns predisposed to this pathology, and to develop measures for their prevention.