Enhancing neonatal survival: what can we do today?

Daga, S. R.; Daga, A. S.; Mhatre, Sameer; Ghane, Vaishali Ramchandra

doi:10.1038/jp.2016.51

Cited by 5 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Earlier, we reported weight-related survival at the RH, GH, and J. J. Hospital with the neonatal care package comprising warmth, feeding, antibiotics, oxygen, and circulatory support [9]. The introduction of a simple version of the CPAP system led to a sharp decline in mortality (Table II).…”

Section: Discussionmentioning

confidence: 97%

Scalability of the Basic Care Model for Very Low Birth Weight Infants and Implementation Research Considerations

Daga

2021

CLINICMED

View full text Add to dashboard Cite

Objectives: To study the scalability of the rural hospital (RH) model of basic newborn care in a general hospital (GH) by including very low birth weight (VLBW) infants, and to assess the implementation aspects. Study design: Observational Settings: RH (1988-1992) and General Hospital, (GH) (2010-2013). Subjects: VLBW infants with birth weight ranging from 1000 g to 1500 g. Interventions: (1) RH: Basic care including warmth, feeding, antibiotics, and oxygen (2) GH: Basic plus circulatory care (2010-12), and continuous positive airway pressure (CPAP) support (2013). Mechanical ventilation and surfactant therapy were not available. Main outcome measure: Mortality Results: The cumulative mortality (38.5%) with basic neonatal care in the RH model declined to 26.6% at the GH with the addition of circulatory support and a “home-made” CPAP system. Conclusions: The RH package may be scaled up by adding CPAP and circulatory support to reduce the mortality among VLBW infants. The RH model is scalable horizontally and vertically. What is already known about this subject? Implementation research constitutes a relatively new and underdeveloped field, One of the facets of health system research is the implementation research. Implementation research aims at bridging the gaps between knowledge and action. What does this study add? Tertiary care center can help in developing basic newborn care at a rural hospital. The rural hospital model can be upscaled vertically as well as horizontally. Addition of circulatory support and CPAP to basic newborn care can significantly lower neonatal mortality. How might it impact on clinical practice in the foreseeable future? The study may encourage tertiary care centers to facilitate the development of basic newborn care centers at the rural hospitals. These centers, in turn, can spread horizontally.

show abstract

Section: Discussionmentioning

confidence: 97%

Scalability of the Basic Care Model for Very Low Birth Weight Infants and Implementation Research Considerations

Daga

2021

CLINICMED

View full text Add to dashboard Cite

show abstract

“…The reduction in neonatal deaths by individual intervention is expected to be as follows: Generally accepted evidence-based interventions and reduction in percent deaths at home or a facility include resuscitation of an asphyxiated baby -6 to 42%, promotion of breastfeeding -55 to 87%, keeping babies warm -18 to 42% and use of antibiotics for pneumonia/sepsis-18-35% [4]. As a part of a bundled approach, oxygen use substantially enhanced survival in a facility-based study [5].…”

Section: Introductionmentioning

confidence: 99%

Attaining Sustainable Development Goal for Newborn Survival: Reinforcing Postnatal Interventions

Daga

2021

CLINICMED

View full text Add to dashboard Cite

Under the sustainable development goals (SDG), the target for neonatal mortality rate (NMR) was proposed to be less than 12 per 1000 live births by 2030 and may not meet the SDG 2030 NMR target. It may be prudent to focus on moderately low birth weight babies, 1500-2499 g, to reach the goal. This category of babies constitutes 37% of newborn deaths. They need supervised care for a short period that consists of the provision of warmth and breastfeeding with or without antibiotic therapy, and with or without oxygen administration. Despite knowing that these interventions can reduce neonatal deaths, deficiencies in how to implement these measures may be making all the difference to the expected outcome. This paper suggests possible ways to enhance the effectiveness of some of the better-known interventions such as the provision of warmth, feeding, resuscitation, oxygen administration, delivery of continuous positive airway support, and antibiotic therapy.

show abstract

A Comparison of Breast Milk and Sucrose in Reducing Neonatal Pain During Eye Exam for Retinopathy of Prematurity

Taplak

Erdem

2017

Breastfeeding Medicine

View full text Add to dashboard Cite

show abstract

Enhancing neonatal survival: what can we do today?

Cited by 5 publications

References 16 publications

Scalability of the Basic Care Model for Very Low Birth Weight Infants and Implementation Research Considerations

Scalability of the Basic Care Model for Very Low Birth Weight Infants and Implementation Research Considerations

Attaining Sustainable Development Goal for Newborn Survival: Reinforcing Postnatal Interventions

A Comparison of Breast Milk and Sucrose in Reducing Neonatal Pain During Eye Exam for Retinopathy of Prematurity

Contact Info

Product

Resources

About