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Basic parameters and problems of development of neonatal care in Saratov oblast are presented. Important part of neonatal care system is pediatric reanimation consulting center which functionally combine neonatal service and pediatric sanitary aviation service. Functionality of center includes rendering of consulting care by "Dynar"--system of remote monitoring by anaesthesiologist-reanimatologist, visits to districts of oblast and patient transportation. Center activities and the training of medical workers of maternity departments, situated on all territory of region contributed to decreasing of infant mortality.