Background. Breastfeeding organization has not yet been evaluated in obstetric care facilities in Russia. Infant formula are prescribed to healthy newborn. Aim of the study: to assess the effectiveness of the organization of breastfeeding and the practice of using infant formula in inter-district centers (II level) for obstetric care in the Arkhangelsk region (North-West Russia). Materials and methods. A statistical study by the method of documentary observation was done. We used the data of medical statistical reporting form No. 32 "Information on the regionalization of obstetric and perinatal care in maternity hospitals (departments) and perinatal centers " (insert to form No. 32-B, table 1000) of 8 inter-district centers (II level) for obstetric care of the Arkhangelsk region for 2013-2017. Data on using infant formula by medical workers were collected separately; indicators "average consumption of infant formula (in kg) per 1 newborn" were calculated. Method of descriptive statistics, analytic method were used in this study. Results. In 2013-2017 the proportion of normal births in inter-district centers (II level) for obstetric care in the Arkhangelsk region increased from 26.5% to 35.4% respectively; the coverage of newborns by exclusively breastfeeding decreased from 94.9% to 89.6% respectively. The total consumption of infant formula decreased by 1.6% (from 236.7 kg in 2013 to 233.0 kg in 2017). The average consumption of infant formula per 1 newborn increased by 60.7% (from 0.028 kg in 2013 to 0.045 kg in 2017). Conclusions. Reduction in the coverage of newborns by exclusively breastfeeding and increase in the average consumption of infant formula per newborn, indicate the violation of principles of neonatal care; and determine the need to change approaches to the newborns’ feeding organization in the early neonatal period.