ORGANIZATION OF A NEW MODEL OF SURGICAL CARE FOR NEWBORNS WITH CONGENITAL MALFORMATIONS IN THE KARAGANDA REGION IN THE PERIOD FROM 2015 TO 2023

Abstract

The provision of medical care to newborns with developmental defects in the Karaganda region until 2017 was carried out only in the Regional Children's Hospital, since the preservation of life and health of this complex contingent of patients was impossible without the participation of neonatal transfer. However, along with a positive assessment of the transfer of a child with congenital malformations for assistance to a children's medical institution, negative aspects of the transfer were also identified. Complications that develop during transportation, according to researchers, can cause unfavorable treatment outcomes. One of the factors of increased mortality of newborns with congenital malformations is a violation of the "heat chain" during transportation from one hospital to another, which worsens the condition of the newborn, increases the development of metabolic disorders, and postoperative complications. Considering that, the Karaganda region is the largest area of Kazakhstan, transportation can take from 3 to 7 hours. The purpose of the article is to reduce the mortality of newborns with congenital malformation in the Karaganda region by excluding thetransportation of newborns from one hospital to another and nursing by neonatologists in the postoperative period in perinatal centers. During the reporting period 2018-2023, the mortality rate of newborns with congenital malformations operated in maternity hospitals in the Karaganda region decreased from 53.8% (2017) to 13% (2023).