MONITORING THE STATE OF MEDICAL CARE TO NEWBORNS IN THE BIRTH CARE FACILITIES OF THE RUSSIAN FEDERATION

Abstract

Introduction. In recent years, the state pays the great attention to the protection of motherhood and childhood, in this regard, constant monitoring of performance indices of perinatal facilities is an important strategic task. Aim. To assess the dynamics of indices characterizing the state of medical care for newborns in perinatal facilities of the Russian Federation in 2013-2018. Materials and methods. The official statistical reports of the Federal State Statistics Service for 2013-2018, the collections of “Main indices of maternal and neonatal health, there were analyzed activities of the child welfare and obstetric care services in the Russian Federation of the “Federal State Budgetary Institution «Central Research Institute for Organization and Informatization of Healthcare » Ministry of Health of Russia for 2014-2019. Statistical processing of the results and data analysis were carried out using Software Microsoft Office Excel. Results. The provision with doctors by neonatologists in 2013-2018 increased by 11.4%, and the provision with beds of pathology for newborns and premature babies increased by 5.4%. An assessment of the distribution of obstetric care facilities by hospital levels revealed that in the studied years there was a decrease in the proportion of institutions level 1 by 7.3% and the gain in institutions level 2 and 3 by 5.8% and 28.8%, respectively. An analysis of the distribution of hospitals level born alive showed that since 2013 there has been a steady decrease in the proportion of children born alive in maternity welfare facilities at level 1 by 46.4%, level 2 at 9.5%, and the increase in institutions level 3 - by 35.1%. In general, the mortality rate of newborns in obstetric facilities decreased by 48.8%. This trend was observed both among full-term and among premature infants. Estimation of the distribution by the level of hospitals of deceased newborns showed that the proportion of dead children decreased in level 1 hospitals by 62.8%, level 2 - by 45.4% and increased in level 3 hospitals by 48.1%. A similar dynamics was observed in the distribution of deceased newborns in the first 168 hours of life: the proportion of deceased children decreased in level 1 and 2 hospitals (by 57.3% and 39.9%, respectively) and increased in level 3 hospitals (50.5%). Conclusions. Despite the decline in the birth rate observed in recent years, the availability of medical care for newborns has increased. An increase in the level of medical care for newborns has led to a decrease in mortality of full-term and premature babies in obstetric hospitals.