New World Health Organization recommendations for care of preterm or low birth weight infants: health policy

作者：Gary L. Darmstadt, Nafisa Hamoud Al Jaifi, Shabina Arif, Rajiv Bahl, Mats Blennow, Vanessa Cavallera, Doris Chou, Roger Chou, Liz Comrie‐Thomson, Karen Edmond, Qi Feng, Patricia Fernandez Riera, Lawrence Grummer-Strawn, Shuchita Gupta, Zelee Hill, Ayede Adejumoke Idowu, Carole Kenner, Victoria Nakibuuka Kirabira, Reinhard Klinkott, Socorro De Leon‐Mendoza, Silke Mader, Karim Manji, Rhonda Marriott, Mónica Morgues, Sushma Nangia, Anayda Portela, Suman Rao, Mohammod Shahidullah, Hoang Thi Tran, Andrew Weeks, Bogale Worku, Khalid Yunis · 发表于：EClinicalMedicine · 年份：2023 · DOI：10.1016/j.eclinm.2023.102155 · 被引用次数：130 · 研究领域：Infant Development and Preterm Care、Neonatal Respiratory Health Research、Preterm Birth and Chorioamnionitis

Approximately 11% of infants are born preterm, and complications of prematurity are the most common cause of death in children aged under five years. Almost one million preterm infants die each year across low, high and middle income countries. In 2021, the World Health Organization (WHO) convened a Guideline Development Group (GDG) to examine evidence and formulate recommendations for care of preterm or low birthweight (LBW) infants according to WHO Guideline Review Committee (GRC) criteria. GRADE methods were used to assess the certainty of evidence and the GDG developed judgements using the DECIDE (Developing and Evaluating Communication strategies to support Informed Decisions and practice based on Evidence) framework. Twenty-five recommendations were made; 11 recommendations were new, and 16 were for preventive and promotive care. Kangaroo Mother Care (KMC) was recommended to start immmediately after birth as routine care for all preterm or LBW newborns (except for critically ill infants who are in shock, unable to breath spontaneously after resuscitation, or require ventilatory support) both in the facility and at home. New recommendations were also made for caffeine to treat apnoea and for extubation; family involvement in routine care for preterm or LBW infants; and for post-discharge home-visit follow-up care. New recommendations were also made to consider use of probiotics, emollient therapy, caffeine for prevention of apnoea, continuous positive airway pressure (CP...