The article presents the results of retrospective assessment and prolonged monitoring of the state of health, physical and mental development of children with extremely low and very low body weights. It describes the health abnormalities' structure, possible outcomes of a neurologic pathology, experience of realization and the results of multidisciplinary follow-up of children during the first to year of their life in pediatric practice conditions.
Keywordsneonatology, cerebral ischemia, bronchopulmonary dysplasia, neuropsychic development, consequences of a perinatal pathology
G.S. Lupandina-Bolotova, L.S. Namazova-Baranova, S.D. Polyakov, A.D. Hristochevskiy, A.M. Mamediyarov
The article presents definition of the physical rehabilitation, explanation of the main terms, characteristic of the new methods and the order of their application according to the child's age, severity of the perinatal pathology and the purpose of the physical rehabilitation.
Rational and proper breast feeding of premature children at all stages of their nursing is possible only if there is a physiologically grounded knowledge about functioning of the gastrointestinal tract of a premature child and his or her needs in nutrients and energy. The article presents the modern opportunities for solving of this problem and the differentiated approach to feeding of premature children, taking into account their maturation degree, age and the accompanying pathology.
Keywordsnewborns, breast feeding, motherhood psychology, feeding of a sick child, nutritive status
The article considers the problems of the adaptation of mothers to a situation when they stay with their premature newborn children in a hospital that are determined by an individual correlation of such factors as activity and flexibility and also psychoemotional state parameters. Four mother groups, psychological characteristic of the mothers' behaviour in each of the groups as well as the purpose, directions and the form of the psychological aid are described.
Keywordspsychological state of a mother, premature child, child-parents relations, newborn nursing, hospital, adaptation to a difficult life situation
The article considers the problem of the diagnostics of psychical activity of premature infants born with very low and extremely low body weights, presents the technology of psycho-pedagogical examination in pediatric practice conditions that allows assessment of the functional capabilities of analyzers and the psychical activity of immature infants. The examination procedure and its results are described in detail. Conclusions are given in the form of recommendations on realization of an individual pedagogical work.
Keywordsnewborns with extremely low and very low body weights, psycho-oedagogical diagnostics, neuropsychic development aberrations, functional capabilities of analyzers, early correctional and educational aid
The article provides information on a qualitative specificity of psychics formation in children during the first year of life and the mechanisms and factors determining and influencing this process. Natural sequence of the development of central psychological age-related achievements in children and the possibility of their occurrence in the later ontogenesis are retraced and demonstrated. Prolonged observation of the dynamics of children's psychical development established that, within the first 12 months, mental development of children can occur in one of 4 variants: normal, delayed, slow, or very slow.
Keywordsperinatal pathology, development abnormalities, special correctional and pedagogical support, individual rehabilitation program, infants, mental development variants
Using a medical case example, the article describes a sequence of the complex rehabilitation program in a hospital where children with severe CNS damages are treated. The content and organization of the pedagogical work at the each rehabilitation stage are described. The author demonstrates the dynamics in mental development of a child with a severe combined neurologic pathology, compares it with the change in the child's neurologic and somatic state.
Keywords nervous system diseases, neuropsychic development, individual special correctional and pedagogical support, complex rehabilitation, infants