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The rate of preterm babies worldwide is quite high, the survival gap between those born in high and low income countries is widening with a significant death toll due to the direct complications of preterm birth and risk factors, especially among those with restricted growth. Most premature babies (...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2021
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=7941108 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 1, 2021, pags. 361-370 |
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| Summary: |
The rate of preterm babies worldwide is quite high, the survival gap between those born in high and low income countries is widening with a significant death toll due to the direct complications of preterm birth and risk factors, especially among those with restricted growth. Most premature babies (> 80%) are between 32 and 37 weeks gestation, and many die unnecessarily from lack of simple care. A series of care packages are outlined that are based on essential care for each newborn that includes support for immediate and exclusive breastfeeding, thermal care, and hygienic cord and skin care. For babies who are not breathing at birth, rapid neonatal resuscitation is crucial. Additional care for young babies, includ-ing kangaroo mother care and feeding support, can cut mortality in babies weighing less than 2000 grams by half. The management of cases of newborns with signs of infection, safe oxygen management and supportive care for those with respiratory complications, among others, are critical scenarios and depend especially on competent nursing care. Neo-natal intensive care units in high-income settings are de-intensifying care, for example, increasing the use of continuous positive airway pressure (CPAP), and this makes comprehensive care for premature infants more transferable. For health systems in low- and middle-income settings with an increase in facility deliveries, district hospitals are the key frontier for improving obstetric and neonatal care. |
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