Abstract:
In the study, we assessed and analysed the quality of the implementation of a system of hygienic, preventive and therapeutic care aimed at preventing and reducing the role of risk factors affecting the growth and development of preterm children, according to the analysis and assessment of the odds ratio of risk factors in organising the conduct and implementation of primary and secondary prevention among family doctors at the primary care level. The odds ratios with higher risk factors included placental dysfunction (4.8), poor nutritional status during pregnancy, endocrine disorders (4.4) and anaemia (4.1), and genetic predisposition (4.02). Moderate risk factors were pelvic inflammatory disease (3.5), fetal abnormalities (3.1), overweight and obesity (3.07). Relatively low odds ratios
included frequent childbirth (2.6), short birth intervals (2.15), age of the mother under
18 years (2.15) and first pregnancy in mothers aged 30 years (2.07), and, factors with
lower odds ratios included repeated abortions (1.9) and early toxicosis (1.6). Therefore, comprehensive hygienic interventions are needed to correct growth and developmental abnormalities in preterm infants after birth.
