Obstetrician - gynaecologists and ultrasound doctors of the “Centre for Perinatology and Paediatric Cardiac Surgery” are being trained at the “Ural Research Institute for Maternal and Child Care” of the MoH of the Russian Federation in Yekaterinburg on the topic of “Fetal Surgery”with the support of the private charity foundation "Ayala" from 14.01 to 28.01.2024. The unique advanced training course on fetal surgery is held under the guidance of Kosovtsova N.V., Professor, MD, intrauterine surgeon.

"The Ural Research Institute for Maternal and Child Care” is a renowned institute in Russia with a strong teaching staff, as well as a theoretical and practical base. Every day on the basis of the educational institution there are informative lectures with renowned lecturers and in practical classes new technologies of fetal surgery are learnt. As an experiment, the class demonstrated intrauterine surgery on pregnant animals, worked out the technique of minimally invasive and fetoscopic surgeries to correct congenital malformations. One of the foetuses had hydronephrosis, and the doctors jointly installed a drain. They conducted practical training on drainage installation on a moulage and performed cordocentesis together with all the participants of the course. Cordocentesis is a puncture of the fetal umbilical cord to obtain lymphocytes for the diagnosis of genetic diseases. It should be noted that today some directions of fetal medicine are successfully applied in Kazakhstan: genetic screening and prenatal diagnostics, cordocentesis, placentocentesis and intrauterine blood transfusion. The educational cycle on fetal surgery gives an opportunity for doctors to try to carry out an effective technique of intrauterine manipulation on the fetus, in practice each participant was able to make invasive diagnosis of chromosomal anomalies and intrauterine infections.

Thanks to the acquired knowledge, the doctors (CPPCS) plan to create a multidisciplinary approach to the intrauterine correction of congenital malformation in order to preserve the life of the fetus and reduce the disability of children.