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Published on: August 15, 2018
[CHARACTERISTICS OF THE CONDITION OF FULL-TERM NEWBORNS FROM THE GROUP OF HIGH PERINATAL RISK DURING VACCINATION
Insights
Newborn vaccination coverage in perinatal centers is low, under 40%, due to medical contraindications. Individualized vaccination approaches are crucial for infant immune prophylaxis.
Area of Science:
- Neonatal care
- Immunology
- Public health
Background:
- Immune prophylaxis is vital for newborns.
- Perinatal centers face unique vaccination challenges.
Purpose of the Study:
- To evaluate immune prophylaxis in early neonatal care.
- To determine vaccination volumes and contraindications.
Main Methods:
- Retrospective cohort study of 160 newborns.
- Analysis of delivery reports and illness histories (March-October 2014).
- Statistical analysis using Statistica 7.0.
Main Results:
- Identified key conditions in mothers and newborns affecting vaccination.
- Determined primary vaccination rates (Hepatitis B, Tuberculosis) in maternity settings.
- Analyzed reasons for medical contraindications to vaccination.
Conclusions:
- Perinatal centers have high medical contraindications, limiting newborn vaccination coverage to below 40%.
- Individualized vaccination schedules are necessary, considering infant health status.
- Healthy newborns follow national calendars unless parents refuse vaccination.
Aim:
Evaluation of the volume of immune prophylaxis work at the stage of administering aid to newborns at the early neonatal period.
Materials And Methods:
Case-control type cohort retro- spective study was carried out, 160 medical reports of deliveries and histories of development of illness of newborns during the period of March-October 2014 were analyzed. Statistical treatment of data was carried out using Statistica 7.0 package.
Results:
Principal nosologic units in pregnant women and their newborn children, volumes of primary vaccination (against viral hepatitis B, tuberculosis) in maternity hospitals in children with perinatal pathology and healthy newborns, reasons for medical counterindications,were determined.
Conclusion:
The process of vaccination in perinatal center has its own features: a high amount of medical counterindications and thus a low coverage of primary vaccination of newborns, not exceeding 40%. Each child requires indi- vidual approach, the question of sequence and calendar of vaccination is solved taking into con- sideration the health condition. Healthy newborns are vaccinated according to the national vac- cination calendar except those children whose parents reject vaccination.
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