Global challenges, efforts, and controversies in neonatal care

Nicole E St Clair; Maneesh Batra; Jacquelyn Kuzminski; Anne C C Lee; Cliff O'Callahan

doi:10.1016/j.clp.2014.08.002

Global challenges, efforts, and controversies in neonatal care

Clin Perinatol. 2014 Dec;41(4):749-72. doi: 10.1016/j.clp.2014.08.002. Epub 2014 Nov 19.

Authors

Nicole E St Clair¹, Maneesh Batra², Jacquelyn Kuzminski³, Anne C C Lee⁴, Cliff O'Callahan⁵

Affiliations

¹ Global Health Program, Department of Pediatrics, Children's Corporate Center, Medical College of Wisconsin, Suite C560, PO Box 1997, Milwaukee, WI 53201-1997, USA. Electronic address: [email protected].
² Division of Neonatology, Department of Pediatrics, University of Washington School of Medicine, 4800 Sand Point Way Northeast Mailstop M1-12, Seattle, WA 98105, USA.
³ Global Health Program, Department of Pediatrics, Children's Corporate Center, Medical College of Wisconsin, Suite C560, PO Box 1997, Milwaukee, WI 53201-1997, USA.
⁴ Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
⁵ FM Residency, Middlesex Hospital, 90 South Main Street, Middletown, CT 06457, USA.

PMID: 25459772
DOI: 10.1016/j.clp.2014.08.002

Abstract

Simple low-cost, evidence-based interventions such as clean delivery practices, immediate warming, umbilical cord care, and neonatal resuscitation could prevent 40% to 70% of newborn deaths globally, but many obstacles preclude the provision of those basic interventions for all newborns, particularly in low-resource regions. Global efforts have led to widespread development of neonatal clinical practice guidelines, training programs, and policies. Because of a shortage of health care resources, standards of care have been redefined to meet the needs of underserved populations. This article provides an overview of the challenges, efforts, and controversies surrounding neonatal health in low-resource settings.

Keywords: Community health worker; Essential newborn care; Global health; Low-income; Low-resource; Millennium Development Goals; Neonatal mortality; Traditional birth attendant.

Publication types

Review

MeSH terms

Delivery, Obstetric / standards
Developing Countries*
Female
Global Health*
Health Resources*
Humans
Infant
Infant Care / standards*
Infant Mortality*
Infant, Newborn
Infant, Premature
Pregnancy
Prenatal Care / standards