Regional Model of Surgical Care Organization for the Newborn of Sakha Republic (Yakutia)

Abstract

In order to improve the quality of care for neonates with surgical diseases we examined the primary causes of newborn deaths in the period from 1992 to 2011 according to the children’s surgical department of Yakutsk data. In 77% of cases the causes of adverse outcomes in neonates with surgical pathology were conditionally preventable. We identified the main organizational direction, which led to a reduction in mortality of infants with surgical pathology in 3, 5 times during the 2 study period. Basic medical and organizational moments of regional model improving medical care for newborns with surgical pathology are antenatal diagnosis of malformations and prenatal consultation by pediatric surgery, competent and timely transportation of the newborns from regions, centralization assist in the level 3 hospital, introduction of modern diagnostic and treatment algorithms, methods of minimally invasive surgery.