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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">perinatology</journal-id><journal-title-group><journal-title xml:lang="ru">Российский вестник перинатологии и педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-4065</issn><issn pub-type="epub">2500-2228</issn><publisher><publisher-name>Ltd. “The National Academy of Pediatric Science and Innovation”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21508/1027-4065-2021-66-1-117-124</article-id><article-id custom-type="elpub" pub-id-type="custom">perinatology-1348</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБМЕН ОПЫТОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SHARING EXPERIENCES</subject></subj-group></article-categories><title-group><article-title>Опыт внедрения международных стандартов оценки роста новорожденного INTERGROWTH-21st</article-title><trans-title-group xml:lang="en"><trans-title>Experience in implementing the International Standards for Assessing Newborn Growth INTERGROWTH-21st</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1831-887X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рюмина</surname><given-names>И. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ryumina</surname><given-names>I. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рюмина Ирина Ивановна – доктор медицинских наук, руководитель отделения патологии новорожденных и недоношенных детей, профессор кафедры неонатологии </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">i.ryumina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0316-4153</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маркелова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Markelova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маркелова Марина Михайловна – врач-неонатолог, научный сотрудник отделения патологии новорожденных и недоношенных детей</p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3160-905X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нароган</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Narogan</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нароган Марина Викторовна – доктор медицинских наук, ведущий научный сотрудник отделения патологии новорожденных и недоношенных детей Национального медицинского исследовательского центра акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова; профессор кафедры неонатологии клинического института детского здоровья им. Н.Ф. Филатова Сеченовского университета</p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9565-5760</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Орловская</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Orlovskaya</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Орловская Ирина Владимировна – кандидат медицинских наук, ст. научный сотрудник, зав. по клинической работе отделения патологии новорожденных и недоношенных детей </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4601-1237</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Перепелкина</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Perepelkina</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Перепелкина Анна Евгеньевна – врач-неонатолог отделения патологии новорожденных и недоношенных детей </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5560-8759</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рындин</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ryndin</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рындин Андрей Юрьевич – старший научный сотрудник отделения реанимации и интенсивной терапии новорожденных им. А.Г. Антонова Национального медицинского исследовательского центра акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова; доцент кафедры неонатологии клинического института детского здоровья им. Н.Ф. Филатова Сеченовского университета</p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3212-1870</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гатина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gatina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гатина Евгения Александровна – врач-неонатолог отделения новорожденных </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3571-3900</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Молькова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Molkova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Молькова Екатерина Александровна – врач-неонатолог отделения патологии новорожденных и недоношенных детей №2</p><p> 117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8180-3275</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Косолапова</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kosolapova</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Косолапова Юлия Александровна – врач-неонатолог, младший  научный сотрудник отделения новорожденных №2 </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2920-6382</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артамкина</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Artamkina</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Артамкина Екатерина Игоревна – врач-неонатолог отделения реанимации и интенсивной терапии новорожденных им. А.Г. Антонова Национального медицинского исследовательского центра акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова; аспирант кафедры неонатологии клинического института детского здоровья им. Н.Ф. Филатова Сеченовского университета</p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4298-121X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соколова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokolova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Соколова Екатерина Владимировна – врач-неонатолог, анестезиолог-реаниматолог отделения хирургии новорожденных </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2001-8761</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Титова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Titova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Титова Елена Витальевна – младший научный сотрудник отделения патологии новорожденных и недоношенных детей </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5914-3274</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кириллова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kirillova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кириллова Евгения Александровна – кандидат медицинских наук, врач анестезиолог-реаниматолог, неонатолог, педиатр отделения хирургии новорожденных </p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8534-7120</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Деревягина</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Derevyagina</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Деревягина Ольга Сергеевна – врач-неонатолог отделения новорожденных Национального медицинского исследовательского центра акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова; аспирант кафедры неонатологии клинического института детского здоровья им. Н.Ф. Филатова Сеченовского университета</p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8366-5208</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зубков</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zubkov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зубков Виктор Васильевич – доктор медицинских наук, директор Института неонатологии и педиатрии, зав. кафедрой неонатологии Национального медицинского исследовательского центра акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова; профессор кафедры неонатологии клинического института детского здоровья им Н.Ф. Филатова Сеченовского университета</p><p>117997 Москва, ул. акад. Опарина, д.4</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Байбарина</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Baibarina</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова» Минздрава России;&#13;
ФГАОУ ВО «Первый московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology;&#13;
Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff xml:lang="en" id="aff-3"><institution>Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>29</day><month>03</month><year>2021</year></pub-date><volume>66</volume><issue>1</issue><fpage>117</fpage><lpage>124</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ltd. “The National Academy of Pediatric Science and Innovation”, 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><copyright-holder xml:lang="en">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><license xlink:href="https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.ped-perinatology.ru/jour/article/view/1348">https://www.ped-perinatology.ru/jour/article/view/1348</self-uri><abstract><p>Физическое развитие новорожденных и грудных детей – важнейший параметр оценки их здоровья. Однако нормативы антропометрических параметров, а главное их прироста у недоношенных детей, особенно родившихся с низкой и экстремально низкой массой тела, до настоящего времени являются дискутабельными.</p><sec><title>Цель исследования</title><p>Цель исследования: применить методику измерения и оценки основных антропометрических показателей новорожденных с помощью международных стандартов постнатального роста недоношенных детей INTERGROWTH-21st для решения вопроса о целесообразности ее адаптации и широкого внедрения в неонатологическую и педиатрическую практику в Российской Федерации. В период с 15.05.2018 по 26.11.2018 в НМИЦ АГП им. В.И. Кулакова (участник международного проекта по внедрению нормативов INTERGROWTH-21st в неонатологическую и педиатрическую практику) родились 4876 детей, из них 439 (9%) недоношенных, из которых 376 (89,3%) с установленным сроком гестации по УЗИ вошли в исследование. На каждого ребенка заводились подробные анкеты по оценке окружающей среды и здоровья матери, течения беременности, родов, состояния здоровья ребенка от рождения и до выписки из стационара. У 2,1% детей, классифицированных по INTERGROWTH-21st как дети с задержкой внутриутробного роста, согласно диаграммам Fenton, имелся нормальный внутриутробный рост. При сравнении оценки постнатального роста при выписке из стационара, напротив, по шкале Fenton больше детей классифицировались как дети с нарушением постнатального роста; несовпадение при использовании диаграмм INTERGROWTH-21st и Fenton составило 8%. При выписке 52% недоношенных детей находились исключительно на грудном вскармливании, на смешанном вскармливании – 28,8%.</p></sec><sec><title>Заключение</title><p>Заключение. Использование шкал INTERGROWTH-21st позволяет, с одной стороны, проводить раннюю коррекцию питания при выявлении задержки физического развития, с другой – уменьшает риск метаболических нарушений, связанных с агрессивным стремлением добиться быстрого роста недоношенного ребенка.</p></sec></abstract><trans-abstract xml:lang="en"><p>The physical development of newborns and infants is the most important parameter in assessing their health. However, the standards of anthropometric parameters, and most importantly their growth in premature babies, especially those born with low and extremely low body weight, are still controversial.</p><sec><title>Objective</title><p>Objective: to apply the methodology for measuring and assessing the main anthropometric indicators of newborns using the international standards of postnatal growth of premature babies INTERGROWTH-21st to resolve the issue of the feasibility of its adaptation and widespread introduction into neonatological and pediatric practice in the Russian Federation. 4876 children were born at Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology (participant of the international project for the implementation of INTERGROWTH-21st standards in neonatological and pediatric practice) from 15.05.2018 to 26.11.2018. 439 (9%) of them were born premature, of which 376 children (89,3%) with gestational age confirmed by ultrasound were included in the study. There was a detailed file for each child to assess the environment and health of the mother, the course of pregnancy, childbirth, the state of health of the child from birth to discharge from the hospital. 2.1% of children classified by INTERGROWTH-21st as children with intrauterine growth retardation, according to Fenton charts, had normal intrauterine growth. When comparing the postnatal growth at discharge from hospital on the Fenton scale, more children were classified as children with impaired postnatal growth; the discrepancy between INTERGROWTH-21st and Fenton diagrams was 8%. At discharge, 52% of premature babies were exclusively breastfed, 28.8% of premature babies were at mixed feeding.</p></sec><sec><title>Conclusion</title><p>Conclusion. On the one hand, the use of INTERGROWTH-21st scales helps to correct nutrition in case of delay in physical development, and, on the other hand, it reduces the risk of metabolic disorders associated with an aggressive desire to achieve rapid growth of a premature baby.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>новорожденные</kwd><kwd>недоношенные дети</kwd><kwd>международные стандарты постнатального роста недоношенных детей INTERGROWTH-21st</kwd><kwd>диаграммы постнатального роста недоношенных Fenton</kwd></kwd-group><kwd-group xml:lang="en"><kwd>newborns</kwd><kwd>premature baby</kwd><kwd>INTERGROWTH-21st Postnatal Growth Standards for Preterm Infants</kwd><kwd>the Fenton growth chart for preterm infants</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Wood N.S., Costeloe K., Gibson A.T., Hennessy E.M., Marlow N., Wilkinson A.R. 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