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The unfavorable influence of the prematurity on the neonatal prognostic of small for gestational age fetuses
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  • Roxana Bohiltea,
  • Natalia Turcan,
  • Florentina Furtunescu,
  • Dan Navolan,
  • Monica Cirstoiu
Roxana Bohiltea
Universitatea de Medicina si Farmacie Carol Davila Facultatea de Medicina
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Natalia Turcan
University Emergency Hospital Bucharest
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Florentina Furtunescu
Carol Davila University of Medicine and Pharmacy Faculty of General Medicine
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Dan Navolan
Universitatea de Medicina si Farmacie Victor Babes din Timisoara
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Monica Cirstoiu
Carol Davila University of Medicine and Pharmacy Faculty of General Medicine
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Introduction. Vascular stress at the level of the uterus-placental unit, with chronic placental ischemia, results in intrauterine growth restriction. Expectation management can be used, when the situation allows, in cases of compensated intrauterine growth restriction. Aim: The aim of our study was to evaluate the neonatal prognosis of preterm births with and without growth restriction and term births with growth restriction in order to improve decisional accuracy regarding the termination of pregnancy. Results: The frequency of term birth infants with low birth weight for gestational age was approximately 2%. The male gender, predominated only in the group of premature infants with normal weight for the gestational age. The highest frequency of neonatal complications studied occurred in the group of preterm neonates SGA (small for gestational age) with statistical significance obtained for cardio-vascular arrest acute respiratory failure, ulcer-necrotic enterocolitis, respiratory distress, cerebral edema, intraventricular hemorrhage, cerebral hemorrhage, pulmonary hemorrhage, neonatal infection, hypoglycemia, retinopathy, anemia, hemorrhagic disease, disseminated intravascular coagulation, disease of hyaline membranes, neonatal sepsis, need for intensive neonatal therapy and death. Conclusion: Immediate neonatal adaptation of SGA preterm neonates is more deficient than for preterm neonates with appropriate weight for gestational age; the adaptation of preterm neonates, in turn, is more deficient than term newborns with intrauterine growth restriction. The term newborns with intrauterine growth restriction have a neonatal adaptation comparable to that of the term newborns with weight corresponding to the gestational age.