perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2017-62-5-43-48perinatology-549Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWS«Недоношенность» как медико-социальная проблема здравоохранения. Часть 3. Система последующего наблюдения за недоношенными детьмиPremature birth as a medical social problem. Part 3. Methods of premature infants follow-upСахароваЕ. С.SakharovaE. S.

к.м.н., вед. научн. сотр. отдела неонатологии и патологии детей раннего возраста Научно-исследовательского клинического института педиатрии имени  академика Ю.Е. Вельтищева

125412 Москва, ул. Талдомская, д. 2

КешишянЕ. С.KeshishyanE. S.

д.м.н., проф., зав. отделом неонатологии и патологии детей раннего возраста Научно-исследовательского клинического института педиатрии имени академика Ю.Е.Вельтищева

125412 Москва, ул. Талдомская, д. 2

АлямовскаяГ. А.AlyamovskayaG. A.

к.м.н., ст. научн. сотр. отдела неонатологии и патологии детей раннего возраста Научно-исследовательского клинического института педиатрии им. академика Ю.Е. Вельтищева

125412 Москва, ул. Талдомская, д. 2

ОСП «Научно-исследовательский клинический институт педиатрии им. академика Ю.Е. Вельтищева» ФГБОУ ВО РНИМУ им. Н.И. ПироговаРоссияClinical Research Institute of Pediatrics named after acad. Veltischev, Pirogov Russian National Research Medical UniversityRussian Federation2017101120176254348Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20172017Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/549

Совершенствование тактики выхаживания ведет к повышению выживаемости детей с очень низкой и экстремально низкой массой тела при рождении. Особенности адаптации недоношенных детей, высокий риск формирования хронической соматической и неврологической патологии требует организации специализированной системы последующего наблюдения с момента рождения ребенка и на протяжении первых лет жизни. В статье отражены современные представления о российских и зарубежных тактиках раннего вмешательства для недоношенных детей на госпитальном этапе и после выписки из стационара, в домашних условиях. В настоящее время продолжается изучение эффективности воздействия различных стимулов в неонатальном периоде на улучшение адаптации и отдаленные исходы развития у недоношенных детей. Большое внимание уделяется психологической поддержке родителей с целью формирования устойчивых взаимодействий в паре родитель–ребенок.

The improvement in newborn intensive care leads to increasing of survival rate in premature infants with very low and extremely low birth weight. Adaptive characteristics of premature infants together with high risk of severe somatic and neurological diseases requires special follow-up system establishment, that could function from the birth and through the first years of life. In this article there are modern opinions of Russian and foreign managements of early intervention practices for premature infants in neonatal intensive care units, hospital stage and at home after discharge. Now research of effectiveness of different stimulations in neonatal period to improve adaptation process and remote developmental outcomes in premature infants is going on. There is very important to give attention to psychological supervision of parents for creation of strong interactions in parent-baby couple.

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The authors declare that there are no conflicts of interest present.