[Comprehensive approach to decrease of neonatal mortality].

Due to united efforts of public health at many levels neonatal mortality in Samara decreased from 17.3 to 7.1% during 5 years. Irish program "Positive Maternity" and outpatient perinatology programs helped decrease the incidence of severe gestosis to 15.9 per 10,000 deliveries. Services engaged in family planning, andrological care, and treatment of couples have been created. Resuscitation of newborns is realized in accordance with the Swiss Government Program on Maternity and Childhood Protection and the USA Protocol of Newborn Resuscitation. Introduction of the Placenta-Fetus-Newborn program is in progress. Six-year activities of a visiting neonatological team decreased neonatal mortality from respiratory distress syndrome almost 3-fold. Activities of Center for Surgical Correction of Congenital Defects are constantly updated. The rate of detection of congenital defects by ultrasonic examination is now as high as 75%. The realization of programs and activities of institutions are financed through obligatory medical insurance, public health budget, and purposeful programs.