Abstract
Application of new understanding, equipment and techniques to the care of high risk newborns has led to a generalized decrease in neonatal mortality. Studies related to morbidity and follow-up are under way in our own and in other centers. In Kentucky, a state which ranks very low economically, a reduction of approximately 30% in neonatal mortality has occurred in 10 years. In one of the first nurseries to develop neonatal intensive care a reduction of over 40% was recorded. Major contributing factors in this achievement have been the development of neonatal intensive care units in the state's two medical schools, intra- and extra-mural programs for education of medical and nursing personnel, improvement in regional care with few infants born in hospitals with under 1000 deliveries, and family practitioner, obstetric and pediatric cooperation. Tables, graphs, pictures will be utilized to illustrate changes in patterns of mortality, equipment, education, care and types of problems encountered.
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