Borntoosoon
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Over 15 million babies are born preterm each year, and complications from prematurity are the leading cause of newborn deaths. Rates of preterm birth are rising even as prematurity is the second leading cause of death in children under 5. While survival rates of extremely preterm babies were once very low, through family support and advanced neonatal care in the NICU, some babies born very prematurely can now survive. Everyone has a role to play in preventing preterm births and improving care for premature babies.
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Borntoosoon
- 2. Introduction 15 million babies are born too soon every year More than 1 in 10 babies are born preterm, affecting families all around the world. Over 1 million children die each year due to complications of preterm birth. Many survivors face a lifetime of disability, including learning disabilities and visual and hearing problems.
- 3. Leading cause of neonatal mortality..
- 4. Rates of preterm birth are rising Prematurity is the leading cause of newborn deaths (babies in the first 4 weeks of life) and now the second leading cause of death after pneumonia in children under the age of 5.
- 5. Behind every statistic is a story My baby was even extremely premature for i gave birth to him when i was 27 weeks pregnant.. He weighed just 900 grams.. His survival rate was 0% initially.. Me and my husband kept a lot of hope on Allah.. He was in incubator for 45 days at Neonatal Intensive Care Unit JIPMER.. I didnt even touch my baby for 15 days.. A lot of tears for my baby stopped or otherwise forgot to breathe often.. Medically they called it a APNEA.. Still we botn didnt loose hope on Allah.. Then Slowly he started to progress.. Are trust on Allah never failed... I used to keep him in my warmth for hours.. My husband was my big support.. He beared my pain, tears, my anger and frustration which i often showed. All what i got from him was a silent smile and a warm rub on my head which always said "Dont worry.. I am with you even if the entire world ignores you.." ... A man whom I always admire for the love and respect he shows me.. A big thanks to Team NICU-JIPMER Pondy.. How can I forget to specify my Sister who first of all taught me how to communicate with Allah.. Gifted to have her as my sister.. My mum and dad who are still busy baby sitting.. And all others for ter prayers...
- 6. Everyone has a role to play Everyone can help to prevent preterm births and improve the care of premature babies, accelerating progress towards the goal of halving deaths due to preterm birth by 2025. The Every Woman Every Child effort, led by UN Secretary-General Ban Ki-moon, provides the framework to coordinate action and ensure accountability. ( Invest , Implement , Innovate , Inform)
- 7. Invest Impleme nt Innovat e Inform Pre conception Better nutrition, environment, Occ health, Family planning Family planning STI prev Education Avoid smoke & pollution Consensus on pre conception guidelines Understanding the risks to preterm birth Premature baby care Scale up of NICU Essential & extra newborn care Treat infections & complications Safe oxygen Robust & reliable equipment Address quality & equity Essential & extra neonatal care Pregnancy & birth Universal access to antenatal & childbirth care Screen STI Manage high risk & preterm labor AN corticosteroid Scale up intervention Facilitate equity Antenatal care services
- 8. Care for the preterm baby Pierre Budin : “-Warmth -Breast feeding -Cleanliness”
- 9. Packages Essential & extra newborn care Neonatal resuscitation Kangaroo mother care Special care of premature babies & phased scale up of NICUs
- 11. Delivery room & resuscitation care Additional warming techniques – plastic wrapping , mattress , radiant warmer Oxygen requirement – titrate with Spo2 Assisted ventilation – Avoid large lung volume inflation , increase PEEP
- 12. Thermal care …. Kangaroo mother care Incubator Radiant warmer Exothermic mattress Plastic wrapping
- 13. Feeding practices & Nutrition • Early initiation of breastfeeding within one hour after birth has been shown to reduce neonatal mortality • Premature babies benefit from breast milk nutritionally, immunologically and developmentally. • Most premature babies require extra support for feeding with a cup, spoon or another device such as gastric tubes
- 14. Supplementation for preterm infants Recommended intakes for macro-nutrients expressed per mg/ kg/ day and per 100 kcal unless otherwise denoted
- 15. Supplementation for preterm infants Recommended intakes for micronutrients expressed per mg/ kg/ day and per 100 kcal unless otherwise denoted
- 17. Prevention of infection Clean birth practices reduce maternal and neonatal mortality and morbidity from infection-related causes, including tetanus . Hand cleansing is especially critical in neonatal care units. Unnecessary separation from the mother or sharing of incubators should be avoided as these practices increase spread of infections.
- 18. Skin care Cord care Eye care
- 20. Born too soon contd…. Special care of preterm babies ……..