Experience of the neonatal intensive care unit of the National research science center for maternal and child health

Опыт работы отделения реанимации и интенсивной терапии новорожденных Национального научного центра материнства и детства
Tamara Chuvakova 1, Botakoz Abentaeva 2, Raushan Kamieva 2, Bibigul Charipova 2, Gaukhar Temirbaeva 2
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1 Department of neonatology, National research center for maternal and child health of the corporate fund "UMC", Astana, Kazakhstan
2 The neonatal resuscitation and intensive care unit, National research center for maternal and child health of the corporate fund "UMC", Astana, Kazakhstan
J CLIN MED KAZ, Volume 3, Issue 45 special issue, pp. 145-149. https://doi.org/10.23950/1812-2892-JCMK-00480
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ABSTRACT

The article presents the work results of Neonatal Intensive Care Unit of National Research Center for Maternal and Child Health. The main goal of the unit is to increase the survival rate of sick newborns, including premature babies. In addition, to minimize the possible complications that lead to increase in the number of people disabled since childhood and impair their quality of life. Realization of this purpose became possible with the introduction of effective evidence-based medical care. As a result, for the period from 2008 to 2016, the survival rate of extremely low birth weight infants (500-999g) increased from 13% to 67% and very low body weight infants from 78% to 98% acordingly.

CITATION

Chuvakova T, Abentaeva B, Kamieva R, Charipova B, Temirbaeva G. Experience of the neonatal intensive care unit of the National research science center for maternal and child health. Journal of Clinical Medicine of Kazakhstan. 2017;3(45 special issue):145-9. https://doi.org/10.23950/1812-2892-JCMK-00480

REFERENCES

  • Jackson JC. Adverse events associated with exchange transfusion in healthy and ill newborns. Pediatrics. 1997; 99:724-726.
  • Porto AM, Cjutinho IC, Correia JB, Amorin MM. Effectiveness of antenatal corticosteroids inreducing respiratory disorders in late preterm. Infants: randomized clinical trial. BMJ. 2011; 342: dl 696.
  • Crowther CA, McKinlay CJ, Middleton P, Harding JE. Repeat doses of prenatal corticosteroids for women at risk of preterm birth for improving neonatal health outcomes. Cochrane Database syst. 2011; 3:CD003935.
  • Sotiriadis A, Makrydimas G, Papatheodorou S, Ioannidis JP. Corticosteroids for preventing neonatal respiratory morbidity after elective caesarean section at term. Cochrane Database syst.2009; 3:CD006614.
  • Te Pas A.B., Lopriore E, Dito I, Morley CJ, Walther F.J. Humidified and heated air during stabilization at birth improves temperature in preterm infants. Pediatrics. 2010; 125:1427-1432.
  • McCarthy LK,Hensey CC, O′Donnell CP. In vitro effect of exzothermic mattresses on temperature in the delivery room Resuscitation. 2012; 201-202.
  • Kattwinkel J, Perlman JM, Aziz K, Colby C, et all. Neonatal resuscitation. 2010.
  • McCall EM, Alderdice F, Halliday HI, Jenkins JG, Vohra S. Interventions to prevent hypothermia at birth in preterm and/or low birthweight infants. Cochrane Database syst. 2010; CD004210.
  • European Consensus Guidelines on Management of neonatal Respiratory Distress Syndrome in preterm infants ‒ 2013 Update Consensus Guidelines. 
  • Finner NN, Carlo WA, Walsh MC, Rich W, Ganttz MG, Yoder BA, et all: Early CPAP versus surfactant in extremely preterm infants. N Engl. J. Med. 2010;362:1970-1979.
  • O′Donnell CP, Schmolzer GM. Resuscitation of preterm infants: delivery room interventions and their effect on outcomes. Clin. Perinatol. 2012; 39: 875-869.
  • Finer N, Leone T. Oxygen saturation monitoring for the preterm infant: the evidence basis for current practice. Pediatr. 2009; 65:375-380.
  • Kamlin CO, O’Donnell CP, Davis PG, Morley CJ. Oxygen saturation in healthy infants immediately after birth. Pediatr. 2006; 148:585-589.
  • Saugstad O.D., Ramji S., Soll R.F., Vento M. Resuscitation of newborn infants with 21 or 100% oxygen: an updated systematic review and meta-analysis. Neonatology. 2008; 94: 176-182.
  • Schmidt B, Andersen PJ, Doyle LW, Dewey D, et all. Caffeine for Apnea of Prematurity (CPAP) treal investigations: Survival without disability to age 5 years afther neonatal caffeine therapy for apnea of prematurity. JAMA. 2012;307:275-282.
  • Hay WW Jr. Strategies for feeding the preterm infant. Neonatology. 2008; 94:245-254.
  • Ehrenkranz RA. Early, aggressive nutritional management for very low birth weight infants: what is the evidence? Semin. Perinatol. 2007; 31:48-55.
  • Rabe H., Reynolds G., Diaz-Rossello J. A systematic review and meta-analysis of a brief delay in clamping the umbilical cord of preterm infants. Neonatology. 2008; 93:138-144.
  • Committee on Obstetric Practice, American College of Obstetricians and Gynecol. 2012;120:1522-1526.
  • Subhedar NV, Shaw NJ. Dopamine versus dobutamine for hypotensive preterm infants. Cochrane Database Syst. 2003;2 :CD001242.
  • Ibrahim H, Sinha IP, Subhedar NV. Corticosteroids for treating hypotension in preterm infants. Cochrane Database Syst. 2011; CD003662.
  • Ohlsson A, Walia R, Shah S. Ibuprofen for the treatment of patent ductus arteriosus in preterm and\or low birth weight infants. Cochrane Database Syst. 2008;1:CD003481.
  • Neumann R, Schulzke SM, Buhrer C. Oral ibuprofen versus intravenous ibuprofen or intravenous indomethacin for treatment of patent ductus arteriosus in preterm infants: a systematic review and meta-analysis. Neonatology. 2012; 102:9-15.