As part of the neonatology development program, the indications and transportation conditions for newborns with pathologies were developed; teams of specialists were organized; equipment was purchased and training seminars on primary neonatal resuscitation for neonatologists, obstetricians-gynecologists, midwives and nurses of the Zhambyl Region were organized; round-the-clock neonatologists were arranged in maternity hospitals; pediatricians were assigned to maternity wards of the regional districts. In their medical practice, doctors avoid polypragmasia and overdiagnosis. Particular attention has been paid to the care of newborns after surgery.

At the same time, the WHO launched initiatives on the Efficient Perinatal Technologies in the Region. From that moment onwards, all obstetric institutions and branches of the region work according to these principles. The program gave noticeable results: neonatal mortality in the region decreased by 3 times.

The survival rate of newborns with regard to birth weight and gestational age improves each year. This is a great merit of not only neonatologists, but also neonatal nurses. Thanks to the possibility of improving the ratio of nurse per patient it is now in the ratio of 1:2 and 1:3, whereby care for a sick newborn has improved.

Since 2012, neonatal surgery has been transferred to the facilities of the Regional Perinatal Center, equipment has been purchased, the neonatal care unit has been developed and resuscitation & surgeon care for newborns have been improved accordingly. The Perinatal Center organized a post of 3 beds for surgical pathology newborns. The experience of surgeons and new newborns nursing technologies reduced mortality after surgical operations down to 12-18% while postoperative survival reached 88%.

Currently, an audiological screening is functioning in the region for the early findings of hearing impairment in children. Regional institutions have been equipped with Otoacoustic Emission Devices, which conduct the primary stage of audiological screening. This procedure should be carried out in the first 3-6 months of a child's life. If necessary, a child is transferred to the audiology center of the Region.

Babies discharged from the perinatal center are transferred to the general pediatric network. These babies, however, require special monitoring, periodic hospitalization and rehabilitation therapy, and, if necessary, they should enjoy special treatment or monitoring in the follow-up offices within Zhambyl Regional Perinatal Center.

The regional neonatal service has ambitions goals and prospects including improving the care of premature babies and enhanced developing of surgical care, developing neurosurgical service and arranging the newborns rehabilitation.

In 2018, the Educational & Clinical Center was opened within Zhambyl Regional Perinatal Center. The objectives and goals of the training center are to conduct training of neonatologists, neonatal nurses, midwives and obstetrician-gynecologists with new healthcare technologies in real-life practice. In order to improve the quality of resuscitation care, the Region provides trainings on primary resuscitation of newborns with asphyxiation using special kits. The trainings envisage theory and practice in emergency care technologies for newborns. There have been obstetrician-gynecologists courses to improve and upgrade surgery skills.

Our obstetrician-gynecologists and neonatologists provide advisory and transportation assistance through Air Medical Service, where local doctors can get advice on the treatment of pregnant women and newborns with severe pathologies. In more complex cases, a team of advisory and transportation specialists uses an ambulance car to provide on-site assistance or to transport women and newborns to the hospital.

A sensitive and careful attitude to people, teamwork, qualified medical personnel and patriotism are priorities for our team. Thanks to this, we are confidently taking steps towards fulfilling our mission: “Ensuring patients' rights in maternal and child health care by providing quality medical services.”