Priorities in neonatal care in developing countries.
Lower perinatal and neonatal mortality have been achieved in the developed countries following advancement of neonatal care, introduction of high technologies, and better knowledge of pathophysiology of the newborn infants.
Other contributing factors are organised delivery room care with skilful resuscitative techniques as well as risk identification and efficient transport of the sick infants including in utero transfer of the fetus, etc.
It cannot be assumed that similar results can be attained in developing countries where financial and human resources are the problems.
With limited resources, it is necessary to prioritise neonatal care in the developing countries.
It is essential to collect minimum meaningful perinatal data to define the problems of each individual country.
This is crucial for monitoring, auditing, evaluation, and planning of perinatal health care of the country.
The definition and terminology in perinatology should also be uniform and standardised for comparative studies.
Paediatricians should be well trained in resuscitation and stabilisation of the newborn infants.
Resuscitation should begin in the delivery room and a resuscitation team should be formed.
This is the best way to curtail complication and morbidity of asphyxiated births.
Nosocomial infections have been the leading cause of neonatal deaths.
It is ofparamount importance to prevent infections in the nursery. (...)
Mots-clés Pascal : Priorité, Soin, Néonatal, Poids naissance très faible, Nouveau né pathologie, Pays en développement, Prématuré, Gestation pathologie
Mots-clés Pascal anglais : Priority, Care, Neonatal, Very low birthweight, Newborn diseases, Developing countries, Premature, Pregnancy disorders
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0014416
Code Inist : 002B30A03B. Création : 21/05/1997.