Today, for the first time in Astana, two rare intrauterine operations were performed at the University Medical Center as part of the "Fetal Medicine" project, launched a year ago at the initiative of the Ministry of Health and the AYALA Charity Foundation.
Invited Russian experts - Doctor of Medical Sciences, Head of the Department of Ultrasound and Functional Diagnostics Kirill Kostyukov and Candidate of Medical Sciences, Obstetrician-Gynecologist, Specialist in Pregnancy Pathology of the National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov Victoria Sakalo (Moscow, Russia) together with the UMC team with jewelry precision performed the correction of complications of monochorionic multiple pregnancy: feto-fetal transfusion syndrome and reverse arterial perfusion syndrome.
According to experts, monochorionic twins are formed from one egg. These children are genetically identical, they are very similar, but complications of such pregnancies are twice as common as in dichorionic twins.
Pathologies in such pregnancies are often associated with vascular abnormalities in the development of the fetus, there are combined vessels, uneven blood supply, which significantly increases the risk of an unfavorable outcome.
Due to the introduction of prenatal diagnostics in obstetric practice in Kazakhstan, today there is sufficient experience in early preclinical detection of such intrauterine pathologies.
The first day of the master class on fetal medicine was attended by freelance chief specialists in prenatal ultrasound diagnostics from all regions of the country, as well as heads of regional fetal preservation centers.
In total, during the year of operation of the fetal surgery program in Kazakhstan, 35 intrauterine operations were successfully performed, which allowed saving the lives of 32 future babies.
In the coming years, it is planned to expand the program, including about 150 fetal operations annually in the leading medical centers of the country. Now this is done only by specialists from the Almaty Children's Cardiac Surgery Center and the capital's Mother and Child Center.
In addition, "One-day clinics" have been opened in 15 perinatal centers to increase the availability of diagnostics of congenital malformations. More than 30 thousand pregnant women have undergone comprehensive examinations there, which helped to identify pathologies early and prevent the birth of children with malformations incompatible with life.

Source : https://www.gov.kz/memleket/entities/dsm/press/news/details/943821