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Lectures

On 20th of May the biggest names in medicine – Ana Bianchi (Montevideo, Uruguay), a world recognized expert in ultrasound in obstetrics, gynecology and perinatal medicine, professor and Ola Didrik Saugstad (Oslo, Norway), an outstanding neonatologist, Honorary Professor of Pirogov Russian National Research Medical University – gave lectures at our University.

Professor Marina Vasilyevna Degtyareva, Head of the Neonatology Department at the Faculty of Continuing Education, noted that this meeting would be useful for neonatologists, obstetricians and gynecologists, and functional and ultrasound doctors, especially for clinical residents and graduate students. 

Professor Ana Bianchi - Country Director Ian Donald Inter-University of Ultrasound in Medicine, Director of The Prenatal Medicine Service. Department Obstetrics and Gynecology, University of Montevideo and Public Health Ministry Hospital Pereira Rossell–Montevideo, Chief of the Ultrasound Service of the biggest Maternity in the country – Asociación Espanola-CASMU, Director of the Research and Education Program of the Latin American Federation of Perinatology – presented the report "Perinatal medicine, the development of obstetric care and prenatal diagnosis in Latin America." It was dedicated to the principles of providing obstetric and gynecological care in Uruguay, where traditionally perinatal medicine is very strong: it has the lowest neonatal and maternal mortality rates in the world, as a result of a competent national health policy. All residents of Uruguay are entitled to free medical care. In addition, there are government programs to protect citizens: for example, there are a lot of programs against domestic violence and related disability. One of the priorities in the field of educational activities is the prevention of a teenage pregnancy, as well as drug addiction and alcoholism. Future parents are persuaded to maintain a healthy lifestyle. High-tech medical care is available to all residents of the country, including the poorest social groups, even if they live at an extended distance from big cities.

As a result, a very small percentage of children with developmental disabilities are born in this country, the number of premature births and cesarean sections has significantly decreased. 

Professor Ola Saugstad is a co-author of the European Consensus Guidelines on the Management of Respiratory Distress Syndrome (RDS). His report “European Clinical Recommendations for Management of Newborns with Respiratory Distress Syndrome 2019: Focus on Oxygenation” was devoted to a very important topic for practicing doctors: resuscitation of newborns. Just a month ago, updated European guidelines on the management of premature newborns with respiratory distress syndrome were published. In his report, he talked about cord clamping tactics, the principles of respiratory and oxygen support for premature and full-term babies. Professor Saugstad spoke about modern approaches to surfactant replacement therapy: the discussion described the methods of administration, the doses, the drugs, and the time when the therapy should be started. Safe methods of non-invasive respiratory support, which are currently the gold standard of starting respiratory support to newborn babies with independent but ineffective breathing, are becoming increasingly common.

In conclusion, the professor talked about clinical recommendations for mechanical ventilation in case of indications for mechanical ventilation and modern techniques that allow to avoid the use of this ventilation method, which can potentially cause lung injury with excessive pressure or inhaled air, as well as hyperoxia when using high oxygen concentrations in the respiratory mix and other complications in newborns.