The article contains the analysis of Rosstat data for 2012–2016 on early neonatal death due to congenital developmental anomalies. From 2012 to 2016 there was an annual progressive decrease in the number of early neonatal deaths (from 6969 to 4113) in the Russian Federation. The total number of newborns died in the first 168 hours of life due congenital anomalies decreased from 1126 (2012) to 759 (2016), while the values of early neonatal mortality decreased from 366.4 to 217.8. However, the proportion of such infants increased from 16.2% (2012) to 18.5% (2016) from the total number of deaths in the early neonatal period. The type of defects and the frequency of their registration as the initial cause of early neonatal death differ in the federal districts of the Russian Federation and there are certain gender differences.Conflict of interest: The authors of this article confirmed the lack of conflict of interest and financial support, which should be reported.
The article presents the main directions of development of modern neonatology and pediatrics of early age. Along with the unconditional achievements in the field of nursing newborns, important issues are raised for further improving the organization and ensuring adequate and effective follow-up of children after discharge from the hospital, which is primarily aimed at improving outcomes. Early respiratory therapy, open resuscitation and priority of breastfeeding, treatment and prevention of bronchopulmonary dysplasia, prevention of respiratory syncytial viral infection, as well as the organization of postneonatal habilitation of premature babies, audits to improve the quality of medical care for newborns and children are the main ones, but far from all directions that are indicated by the team of authors in this publication. At the same time, attention is focused on the most pressing issues of drug and technical support, personnel shortage, safety and effectiveness of the use of modern technologies in neonatal practice, which we all have to solve in the future. The purpose of the publication is to draw attention to the pressing problems of everyone on whom the development strategies of domestic neonatology and pediatrics depend. The authors invite everyone to express their opinions and suggestions by sending their letters collectively or individually to the editorial office.
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