Stabilization of premature infants with respiratory distress syndrome and possibilities of its implementation in the Republic of Tajikistan

Abstract

Aim. To analyze modern approaches to the diagnosis and treatment of Respiratory-Stress Syndrome (RDS) in premature babies at the stage of the delivery room and the possibility of their use in the conditions of the Republic of Tajikistan.Material and methods. We analyzed the provisions and regulatory documents for obstetric facilities, including their annual reports, and national protocols on neonatology approved by the Ministry of Health and Social Protection of the Republic of Tajikistan. The data were compared with the provisions of the 2019 European Consensus on RDS in terms of its diagnosis and stabilization of newborns in the delivery room.Results and discussion. The paper reflects current evidence-based approaches to diagnosing and managing preterm infants born with very low and extremely low birth weights. Taking into account the current recommendations of the European Commission on RDS concerning the issues of diagnosis, respiratory support and surfactant treatment to be performed at the stage of the delivery room, the possibilities of their use in the Republic of Tajikistan are determined.Conclusion. Practical use of scientifically grounded modern strategies for nursing preterm infants with RDS will help to reduce mortality and complications.