DOI: 10.21045/2071-5021-2016-48-2-5
Kapitonov V.F., Shurova O.A., Galaktionova M.Yu., Pavlov A.V.
Krasnoyarsk State Medical University named after prof. V.F. Vojno-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk

Contacts: Vladimir F. Kapitonov, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Significance. The increasing number of sick babies at birth necessitates assessment and planning of health building from earliest stages of medical follow-up, one of which is a pediatric catchment area of children’s polyclinic.

Purpose. Assessment of newborn health status taken under follow-up by a district pediatrician.

Materials and methods. According to the study purpose the authors assessed health status of 316 newborns taken for follow-up in 2012-2015. Primary data were collected through analysis of maternity home summaries (summary of the form ¹097/y); prenatal records - form ¹113/y (information about a newborn provided by the maternity home); discharge summaries from form 027/y (hospital discharge summary), and direct baby examination during the first neonatal check-up. The obtained information was analyzed through absolute and relative indicators, assessment of significance of differences - through the χ² criterion

Results. The study shows that on average for the study period, out of all newborns registered for follow-up by a district pediatrician 7.0% were attributed to the first health group, 67.8% - to the second health group, 10.4% - to the third health group, 8.9% - to the fourth health group and 5.9% to the fifth health group. The rank structure of certain diseases and conditions of the perinatal period, that the newborns had over the period under study, has undergone the following changes. Not elsewhere specified diseases and individual conditions constantly head the list. Growth retardation and dietary deficiency fall to the third place from the second. Their share in the general structure increased by 1.7 times. Other cerebral disorders fall from the second place to the third-fourth with their share decreasing by 1.8 times. The share of fetal hypoxia, asphyxia at birth increased by 1.3 times, sharing the third-fourth place with other neonatal cerebral disorders.

Conclusions. The study findings can serve as an objective indicator for pediatricians and specialty doctors to identify areas for improvement of children’s health building.

Keywords: newborns; health assessment; Pediatric catchment area; structure of morbidity; health groups.

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