Organizational aspects of providing medical care to newborns from the neonatal near miss group
Mosko P.L., Kalinina T.V.
Objective: To demonstrate the effectiveness of implementing modern medical and organizational technologies for providing medical care to pregnant women and newborns who experienced specific conditions during the perinatal period (neonatal near misses).
Materials and methods: The effectiveness of organizational technologies for providing medical care to newborns who experienced specific conditions during the perinatal period (neonatal near misses) was evaluated during 2014–2024 at the third level of perinatal care in the Minsk region.
Results: The article presents the analysis of the effectiveness of organizational technologies implemented in the period from 2014 to 2025 at the third level of perinatal care for pregnant women at risk of premature birth, newborns who experienced specific conditions during the perinatal period and newborns from the neonatal near miss group, in the Minsk region. These implemented technologies included the development of clear algorithms for providing medical care to pregnant women and newborns during the perinatal period, especially in emergency situations, maximum concentration of newborns who experienced specific conditions during the perinatal period at the third level of perinatal care, the introduction of high-tech diagnostic and treatment methods, team-based organization of medical personnel, etc.
Conclusion: The study demonstrated the effectiveness of implementing new organizational technologies in providing medical care to newborns classified as neonatal near misses at the third level of perinatal care in the Minsk region.
Authors’ contributions: Mosko P.L., Kalinina T.V. – developing the concept and design of the study, writing the text; Mosko P.L. – collecting and processing the materials, statistical data processing; Kalinina T.V. – editing the article.
Conflicts of interest: The authors state that the study was conducted without any commercial or financial relationships that could be interpreted as a potential conflict of interest.
Funding: The study was conducted without sponsorship.
Ethical Approval: The research was approved by the Ethical Review Board of the Belarusian Medical Academy of Postgraduate Education (Protocol No. 2 of 18 March 2021).
Patient Consent for Publication: The children’s legal representatives signed an informed consent to the publication of the data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Mosko P.L., Kalinina T.V. Organizational aspects of
providing medical care to newborns from the neonatal near miss group.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (3): 119-124 (in Russian)
https://dx.doi.org/10.18565/aig.2025.260
Keywords
References
- Министерство здравоохранения Республики Беларусь. Метод определения вероятности рождения детей с расстройствами, связанными с укорочением срока беременности и малой массой тела при рождении (инструкция по применению). Минск; 2023. Доступно по: http://med.by/methods/pdf/075-0723.pdf [Ministry of Health of the Republic of Belarus. Method for determining the probability of birth of children with disorders associated with shortened gestational age and low birth weight (instructions for use). Minsk; 2023. Available at: http://med.by/methods/pdf/075-0723.pdf (in Russian)].
- Приказ главного врача КРДМО от 18 марта 2025 г. № 56 «О совершенствовании организации неотложной помощи в учреждении здравоохранения «Клинический родильный дом Минской области». [Order of the chief physician of the CMHMR dated March 18, 2025 No. 56 "On improving the organization of emergency care in the healthcare institution "Clinical Maternity Hospital of the Minsk Region". (in Russian)].
- Приказ главного управления по здравоохранению Минского облисполкома от 12 августа 2019 г. № 338 «Об утверждении Инструкции по организации разноуровневой системы акушерско-гинекологической и перинатальной помощи в Минской области» (в ред. приказа главного управления по здравоохранению Минского облисполкома от 08.04.2025 № 127). [Order of the General Directorate for Health of the Minsk Oblast Executive Committee of August 12, 2019 No. 338 "On approval of the Instructions for organizing a multi-level system of obstetric, gynecological and perinatal care in the Minsk region" (as amended by order of the General Directorate for Health of the Minsk Oblast Executive Committee of 08.04.2025 No. 127) (in Russian)].
- Мосько П.Л., Калинина Т.В., Шишко Г.А., Артюшевская М.В. Неонатальный "near miss": организационно-медицинские аспекты. В кн. Организационные технологии на службе здоровью: материалы республиканской научно-практической конференции, Минск, 7 октября 2022 г. Минск; 2022: 203-10. [Mosko P.L., Kalinina T.V., Shishko G.A., Artsiushevskaya M.V. Neonatal "near miss": organizational and medical aspects. In: Prince Organizational technologies in the service of health: materials of the republican scientific and practical conference, Minsk, October 7, 2022. Minsk; 2022: 203-10 (in Russian)].
Received 19.09.2025
Accepted 24.03.2026
About the Authors
Peter L. Mosko, Chief Physician, Clinical Maternity Hospital of the Minsk Region, 220076, Republic of Belarus, Minsk, Franziska Skaryna str., 16; PhD student at the Department of Public Health, Belarusian State Medical University, 220083, Republic of Belarus, Minsk, Dzerzhinsky ave., 83, +375(29)662-07-65, petrmosko20@gmail.com, https://orcid.org/0009-0000-7801-6641Tatyana V. Kalinina, PhD, Associate Professor, Dean of the Faculty of Additional Education of Healthcare Workers at the Institute of Advanced Training and Retraining of Healthcare Personnel, Belarusian State Medical University, 220083, Republic of Belarus, Minsk, Dzerzhinsky ave., 83, +375(29)608-15-56, fdo@bsmu.by,
https://orcid.org/0000-0003-2461-8975
Corresponding author: Peter L. Mosko, petrmosko20@gmail.com



