Translation of Segments of Materials Published in 
June issue of UNICEF/Ministry of Public Health Publication
Issue of June 2001

            The introduction notes that this is the first issue of this publication, which will be issued periodically to report on the development of the UNICEF initiative, “Baby Friendly Hospital”, a special designation of hospitals by UNICEF.  This issue deals primarily with the promotion and benefits of breast-feeding.  The Committee for health protection and the center for the protection of mothers and infants of the Volgograd oblast with the support of the ministry of health prepared this first issue. The publication bears the UNICEF seal and a letter of endorsement by the UNICEF representative for Russia, Belarus, and Ukraine, Rosemarie MacCreary as well as the Ministry of Health of the Russian Federation..

Point on the Map- Volgograd oblast
            Description of the Region

            The area of the Volgograd Oblast is 113.9 thousand square kilometers, population is 2,615 persons.  The Volgograd Oblast is a typical territory of Russia in which every year is born more than 21000 infants.  Across the territory of the oblast are 40 birthing hospitals and clinics of different kinds, in each of which takes place from 100 to 3000 births per year.  One of each three of the birthing facilities has been awarded the title “Baby Friendly Hospital”.  In the year 2000 the number of beds accommodating both mother and the child in the same room grew to 99% of the total.

Statement of Mikhail Nikolaev Kirichenko, chief doctor of the oblast clinical perinatal center, candidate of medical science, honored doctor of the Russian Federation.
            In 1999 our perinatal center received the international and national diploma “Baby Friendly Hospital”.  The advantage of breast-feeding for healthy infants is obvious and has been described many times.  One of the tasks of our institution, where we concentrate on high risk pregnant women from the entire region of the Volgograd oblast has been the creation of the concept of breast feeding for sick new-borns, whose mothers have serious physical/somatic pathology or serious pregnancy complications.  In these instances the use of medical preparative is unavoidable, but certainly many of them (for example blood pressure lowering agents, antibacterial preparatives and so forth) running through the milk of mother to the infant can bring forth in the infant drowsiness and apathy, breaking up the process of sucking, and the development of malfunctioning bacteria to aid the digestive process, leading to dyspepsia.  How to preserve breast-feeding and decrease the negative consequences of drug therapy?  The task was resolved with the help of a broad introduction of epidural anesthesia (up to 56% in use of anesthesia applications), the use of lymphotropic and homeopathic therapy for the mother giving birth at an early stage, and also together with these methodological approaches to individual breast-feeding.  Today 98.6% of infants are recorded as discharged from our center exclusively on breast-feeding.

* Translator’s note: The Perinatal Center also has, through its affiliate in Mikhailovka, supervisory responsibilities for 9 more districts in the northwest part of the oblast. See  remarks of Dr. Alexander Bukhtin of 11/16/01


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