Nursing of extremely low weight babies: Organizational aspects
The state-of-the-art of the nursing of very low weight babies in Russia is analyzed. The specific features of registration of these children in developmental and state statistics, the results of their nursing in the Russian Federation as a whole and in individual clinics are discussed. It is shown that while preparing for full-scale care of babies, it is necessary to determine a need for additional neonatal intensive care beds, to direct a flow of women with gestational terms of 22 weeks or more to obstetric hospitals. To improve the interaction of different institutions of the regional perinatal network, one should develop criteria for evaluating the health of babies, indications for referral for an institution of this or that level, a scheme for hospitalization of pregnant women and neonatal infants. Due consideration should be given to the training of physicians and nurses who can use current technologies of care to neonatal infants including very low body weight ones.