Prevention and treatment of anemia of prematurity in extremely and very low birth weight infants

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Abstract

Evaluation and treatment of anemia of prematurity in extremely and very low birth weight infants are presented in this article. Research has been set as a retrospective analysis of 105 infants with anemia of prematurity (in the period from January 2004 to December 2016). This study aimed to analyze the frequency, the volume of red blood cells (RBC) transfusions, the age of the first RBC transfusion and factors associated with RBC transfusions in extremely and very low birth weight preterm infants. A combination of delayed umbilical cord clamping ("milking") and therapy with erythropoietin decrease significantly the frequency of RBC transfusion. There was no significant reduction in the frequency of RBC transfusions in the group of children treated only with erythropoietin, without milking. RBC transfusions increase the risk of bronchopulmonary dysplasia, retinopathy and periventricular leukomalacia. Late therapy with erythropoietin (from 8 days of life) does not increase the risk of developing severe forms of retinopathy of prematurity.

About the authors

D. R. Sharafutdinova

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology

Email: dikarush@gmail.com
ORCID iD: 0000-0001-9626-5481

graduate student of the Neonatal Intensive Care Unit,

Russia 117997, Moscow, Samory Mashela st., 1

+7 (495) 438-2277

Russian Federation

E. N. Balashova

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology

Email: dikarush@gmail.com
ORCID iD: 0000-0002-3741-0770

Russia 117997, Moscow, Samory Mashela st., 1

Russian Federation

S. V. Pavlovich

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology
I.M. Sechenov First Moscow State Medical University

Email: dikarush@gmail.com
ORCID iD: 0000-0002-1313-7079

Russia 117997, Moscow, Samory Mashela st., 1

Russian Federation

A. R. Kirtbaya

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology
I.M. Sechenov First Moscow State Medical University

Email: dikarush@gmail.com
ORCID iD: 0000-0002-7628-8157

Russia 117997, Moscow, Samory Mashela st., 1

Russian Federation

O. V. Ionov

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology
I.M. Sechenov First Moscow State Medical University

Email: dikarush@gmail.com
ORCID iD: 0000-0002-4153-133X

Russia 117997, Moscow, Samory Mashela st., 1

Russian Federation

A. A. Lenyushkina

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology

Email: dikarush@gmail.com

Russia 117997, Moscow, Samory Mashela st., 1

Russian Federation

V. V. Zubkov

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology
I.M. Sechenov First Moscow State Medical University

Email: dikarush@gmail.com

Russia 117997, Moscow, Samory Mashela st., 1

Russian Federation

D. N. Degtyarev

The V.I. Kulakov National medical research center for obstetrics, gynecology and perinatology
I.M. Sechenov First Moscow State Medical University

Author for correspondence.
Email: dikarush@gmail.com

Russia 117997, Moscow, Samory Mashela st., 1

Russian Federation

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Copyright (c) 2017 Sharafutdinova D.R., Balashova E.N., Pavlovich S.V., Kirtbaya A.R., Ionov O.V., Lenyushkina A.A., Zubkov V.V., Degtyarev D.N.

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