[PROBLEMS OF NEWBORN NEONATAL ADAPTATION FROM A TWINS]

The clinical analysis of multiple pregnancies. The features of neonatal adaptation process in 96 twins, depending on the type of zygosity. It is proved that the adaptation of the newborn with multiple pregnancy depends on the type of placentation. It is found that monozygotic twins is a risk factor syndromes disadaptation. Children from monozygotic twins compared with dizygotic twins have a higher frequency of the syndrome of respiratory disorders, and more prone to jaundice, hemorrhagic syndrome, violation gemolikvorodinamics II and III degrees. The physical development of the twins also determined by the type zygosity. In the group of monozygotic twins are more common heavier versions of intrauterine growth retardation - hypoplastic and dysplastic. The high frequency of asphyxia on the background of immaturity that leads to the development disadaptation syndromes in these children, the most common of which are hypoxic-ischemic CNS disorders, thermoregulation, jaundice and gastrointestinal reactions. Detection disorders of blood coagulation and glucose metabolism certainly play a negative role in the development of adaptation of these newborns. zygosity type must be determined at the time of pregnancy to produce medical tactics and prognosis.