About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU -

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow 3 2012 (25) arrow The organizational problems of resuscitation care for the newborns in obstetrics inpatient facility
The organizational problems of resuscitation care for the newborns in obstetrics inpatient facility Print
Monday, 02 July 2012

Yu.G. Sychenkov1, L.P. Sukhanova2
1Hospital 8, Kaluga region, town of Obninsk
2Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow

Summary. High rates of morbidity and disability of children population of Russia necessitate drastic measures to be taken for safe birth of every child in every obstetrics inpatient facility. Current policies for the modernization of maternity care, based on ideas of high-tech medical service for parturient women and for the childs being born (with certain focus on premature newborns with diminished body weight), propel the creation of nets of perinatal centers and instigate elevation of the grade of provided medical care within the framework of 1st grade inpatient facilities. 2nd and 3rd grade facilities of such kind producing less than 1,500 births a year are incapable of allocating a separate neonatal resuscitation service just because the standardized staff list and funding ressources do not suit for the creation of a separate department of newborns resuscitation, moreover, a 24-hour neonatal physician is also could not be possibly afforded in most of these facilities. The problem is that 1st and 2nd grade obstetrics inpatient facilities generally prevail in Russia, thus making organizational measures for newborns resuscitation in them quite a topical theme.

One obstetrics inpatient facility in the town of Obninsk producing less than 1,500 births a year was enrolled for this study. It was made clear that this facility was not belonging to 3rd grade facilities of this kind, so there did not exist a separate neonatal resuscitation service, but it factually was incorporated in the framework of a joint anesthesiology and resuscitation service of the maternity hospital as a whole. This joint service was entitled as a "department of anesthesiology and resuscitation of the obstetrics and gynecology service with attached units of resuscitation and intensive care for the newborns". The physicians of this department were to provide anesthesiology and resuscitation care for the whole pool of patients of this maternity hospital which included pregnant ladies, parturient women, and puerperal, as well as the newborns delivered here, if such care turned out to be necessary. Nevertheless, clinical outcomes were quite satisfactory for the newborns in the studied period of 2006-2010.

This individual obstetrics inpatient facility was ranked as 2nd grade facility of this kind along the criteria of bed fund volume, staff list volume, total amount of medical care being provided, financial capabilities insufficient for the creation of a separate newborns resuscitation service. This organizational model of resuscitation care for the newborns was considered feasible in this study form the point of view of quite satisfactory clinical results.

Keywords: Newborns' resuscitation; anesthesiology and resuscitation physician; obstetrics inpatient facility; perinatal center; modernization of healthcare.

References

  1. Baybarina Ye.N. Regionalizatsiya perinatalnoy pomoshchi [Regionalization of perinatal care]. In: Materialy mezhdunarodnoy nauchno-prakticheskoy konferentsii Regionalizatsiya perinatalnoy pomoshchi. Tver. 2010. P. 83-96.
  2. V Volgogradskoy oblasti moderniziruyetsya sluzhba detstva i rodovspomozheniya [In Volgograd region, children and obstetric care service is advancing]. [Internet] [cited 2012 Mar 25]. Available from: http://www.volganet.ru/news/news/2012/02/news_00697.html
  3. V Sverdlovskoy oblasti prodolzhayetsya vnedreniye sovremennykh tekhnologiy po okhrane zdorovya materi i rebenka [In Sverdlovsk region, the modern technologies for maternity and child health protection are implementing]. [Internet] [cited 2012 Mar 22]. Available from: http://www.healthquality.ru/open/index_con.php?obj=co_news&ac=index&nw_id=277
  4. Vystupleniye Ministra Tatyany Golikovoy na rasshirennom zasedanii kollegii Minzdravsotsrazvitiya Rossii 16 marta 2012g. Ob itogakh raboty Minzdravsotsrazvitiya v 2011 godu i zadachakh na 2012 god [On outcomes of operation of the Ministry of Health and Social Development in 2011 and objectives for 2012, Report of the Ministry Golikova T. at the enlarges meeting of the MoH&SD Board of 2012, March 16]. [Internet] [cited 2012 Mar 22]. Available from: http://www.minzdravsoc.ru/health/med-service/205
  5. Doklad Ministra Golikovoy T.A Ob itogakh raboty Minzdravsotsrazvitiya Rossii v 2010 g i zadachakh na 2011 g [On outcomes of operation of the Ministry of Health and Social Development in 2010 and objectives for 2011, Report of the Ministry Golikova T.A.]. [Internet] [cited 2012 Mar 22].Available from: http://www.gosbook.ru/node/19241
  6. Radzinskiy V.Ye., Knyazev S.A., Kostin I.N. Akusherskiy risk [Obstetric risk]. Moscow: EKSMO; 2009. 285 p.
  7. Regionalizatsiya perinatalnoy pomoshchi [Regionalization of perinatal care]. In: Materialy mezhdunarodnoy nauchno-prakticheskoy konferentsii Regionalizatsiya perinatalnoy pomoshchi. Tver. 2010.
  8. Sorokina Z.Kh. Sovremennyye tekhnologii organizatsii meditsinskoy pomoshchi novorozhdennym v akusherskikh statsionarakh [The modern technologies for organization of medical care to newborns in obstetric hospitals]. Problemy upravleniya zdravookhraneniyem 2010;(4):23-27.
  9. Starodubov V.I., Sukhanova L.P., Sychenkov Yu.G. Reproduktivnyye poteri kak mediko-sotsialnaya problema demograficheskogo razvitiya Rossii [Reproductive losses as a health and social problem of demographic development of Russia]. Sotsialnyye aspekty zdorovya naseleniya [Online Scientific Journal]; 2011;22(6) [cited 2012 Mar 22]. Available from: http://vestnik.mednet.ru/content/view/367/27/lang,ru/
  10. Starchenko A.A. O neobkhodimosti sovershenstvovaniya okazaniya reanimatologicheskoy i neonatologicheskoy pomoshchi novorozhdennym i soblyudeniya prava patsiyenta na bezopasnost uslugi [The need to improve the emergency and neonatal care to newborns and patients right for health care safety]. Zamestitel glavnogo vracha: lechebnaya rabota i meditsinskaya ekspertiza [Internet]; 2010;(2) [cited 2012 Mar 22]. Available from: http://www.mcfr.ru/journals/34/311/17791/20023/
  11. Frolova O.G. Yusupova A.N. Opyt raboty i zadachi perinatalnykh tsentrov po snizheniyu perinatalnoy i materinskoy smertnosti [Operation experience and objectives of perinatal centers for reducing perinatal and maternity mortality]. In: Regionalizatsiya perinatalnoy pomoshchi. Materialy mezhdunarodnoy nauchno-prakticheskoy konferentsii. 2010. Tver. P.163-167.
  12. Shirokova V.I. Filippov O.S., Guseva Ye.V., Sostoyaniye zdorovya zhenshchin i osnovnyye napravleniya razvitiya sluzhby rodovspomozheniya v Rossiyskoy Federatsii [Womens health and the basic directions of development of obstetrical care in the Russian Federation]. Zdravookhraneniye 2009;(11):25-31.
  13. 13. Shirokova V.I. Doklad i prezentatsiya Sovershenstvovaniye osnov zakonodatelstva ob okhrane zdorovya grazhdan Rossiyskoy Federatsii v chasti razvitiya meditsinskoy pomoshchi detyam i sluzhby rodovspomozheniya Improvement of the frameworks of the Regulations on health protection for population of the Russian Federation in terms of development of obstetric and child care]. [Internet] [cited 2012 Mar 22]. Available from: http://www.minzdravsoc.ru/docs/mzsr/med-ins/5

Views: 13579

Comments (1)
1. 03-08-2013 20:53
. ,, , - \ .
Written by (ya.sbogom333.yandex.ru) (Guest)

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Wednesday, 06 November 2013 )
< Prev   Next >
home contact search contact search