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Lemeshko Y.I.1, Ustsinovich Y.A.2
Diagnostic significance of separate risk factors and their combinations in the development of hearing disorders in newborns
1Minsk Region Clinical Maternity Hospital, Minsk, Republic of Belarus
2Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus

Vestnik VGMU. 2020;19(1):53-58.

Neurosensory hearing loss in children at the present time is one of the urgent problems of pediatrics. Modern prevention of hearing impairment is based on predicting the manifestation of a hearing pathology in childhood. A pathological effect on the acoustic analyzer is most frequently produced by a combination of several factors, between the action of which there is a relationship.
Objectives. To identify the diagnostic significance of individual risk factors and their combinations in the development of hearing impairment in children.
Material and methods. A comprehensive examination of 206 full-term infants who were in the newborn ward of the Clinical Maternity Hospital of Minsk Region was conducted. An analysis of the course of pregnancy and childbirth in mothers was made, the somatic and neurological status of newborns were also assessed; a laboratory examination of capillary and venous blood in children was performed, the auditory function in newborns was evaluated by recording and analyzing the delayed induced otoacoustic emission.
Results. According to the statistical analysis results of the data obtained, a negative effect of the combination of maternal age, parity of pregnancy and childbirth, the type of anesthesia during cesarean section surgery, and hyperbilirubinemia in newborns on the development of auditory function was established.
Conclusions. The combination of neonatal hyperbilirubinemia with the maternal age over 30 years, repeated pregnancies and first births, the use of spinal anesthesia during delivery by cesarean section statistically significantly increases the likelihood of audiological disorders.
Key words: newborns, hearing loss, risk factors, hyperbilirubinemia, diagnostic significance, otoacoustic emission.


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Information about authors:
Lemeshko Y.I. – postgraduate of the Chair of Neonatology & Medical Genetics, Belarusian Medical Academy of Post-Graduate Education, neonatologist, Minsk Region Clinical Maternity Hospital;
Ustsinovich Y.A. – Doctor of Medical Sciences, associate professor, the  head of Chair of Neonatology & Medical Genetics, Belarusian Medical Academy of Post-Graduate Education.

Correspondence address: Republic of Belarus, 223040, Minsk region, Minsk district, agrogorodok Lesnoy, 29a/3-29. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Yuliya I. Lemeshko.

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