RESERVES FOR REDUCING EARLY NEONATAL MORTALITY IN THE REPUBLIC OF KAZAKHSTAN
Background: one of the integral indicators of the all medical care level among general population is the quality of newborn care and the identification of the causes of neonatal losses, which contributes to the identification of reserves for their reduction.
Purpose of the study: to establish the causes of early neonatal mortality in the Republic of Kazakhstan and to identify the reserves for improving the quality of neonatal care.
Material and methods: The analysis of the structure of the newborn death causes in the early neonatal period in the Republic of Kazakhstan and depending on their body weight at birth was carried out using statistical indicators of medical information database of Republic of Kazakhstan (2019). In addition, the article uses research results about perinatal care regionalization in the Republic of Kazakhstan, conducted jointly with UNFPA and on confidential audit of newborn mortality with the support of the Ministry of Health of the Republic of Kazakhstan.
Results: based on the analysis of causes of early neonatal losses, it was found that the leading position belongs to diseases of premature and immature children by gestational age (59%) with a birth weight ≤1500 g. Analysis of the effectiveness of regionalization of perinatal care in the Republic of Kazakhstan and a confidential audit of medical documentation of the specified contingent of newborns who died in perinatal centers of the Republic of Kazakhstan revealed the presence of real reserves for reducing their losses by strictly observing the regionalization of perinatal care and improving methods of specialized care for premature and low birth weight newborns by gestational age for all levels of perinatal care.
Conclusions: the country has enough reserves for reducing neonatal losses by improving the practice of caring for full-term and specialized care for premature and low birth-weight infants. Implementation of the 2019 European recommendations on stabilization of premature infants with RDS will reduce their mortality by at least 30% and prevent the implementation of many critical conditions that complicate the course of underlying diseases.
Tamara K. Chuvakova1, https://orcid.org/0000-0001-5411-8061
Bekturgan T. Karin1, https://orcid.org/0000-0002-8080-787X
Kulyash K. Dzhaksalykova2, https://orcid.org/0000-0001-5540-3331
Saule M. Zhumambayeva 3, http://orcid.org/0000-0002-9298-005
1 NJSC “Medical University Astana”, Department of Neonatology, Nur-Sultan, Republic of Kazakhstan;
2 NJSC “Medical University Astana” Department of Family Medicine No.2, Nur-Sultan, Republic of Kazakhstan;
3 NJSC “Medical University Astana”, Department of children diseases with course of allergology hematology and endocrinology, Nur-Sultan, Republic of Kazakhstan.
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Chuvakova T.K., Karin B.T., Dzhaksalykova K.K., Zhumambayeva S.M. Reserves for reducing early neonatal mortality in the Republic of Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 5, pp. 49-57. doi 10.34689/SH.2021.23.5.006Related publications:
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