Department of Anaesthesiology & Intensive Care and SAFER (Stavanger Acute medicine Foundation for Education and Research), Stavanger University Hospital, Norway.
Semin Fetal Neonatal Med. 2013 Dec;18(6):373-8. doi: 10.1016/j.siny.2013.07.001. Epub 2013 Jul 27.
Intrapartum-related hypoxia leading to deaths and disabilities continues to be a global challenge, especially in resource-limited settings. Primary prevention during labour is likely to have a significant impact, but secondary prevention with focus on immediate basic stabilization at birth can effectively reduce a large proportion of these adverse outcomes as demonstrated in the resource-rich settings. Infants who fail to initiate and establish spontaneous respirations at birth often respond to early interventions such as drying, stimulation, clearing the airways, as well as bag mask ventilation applied within the first minute after birth. Simple resuscitation education such as 'Helping Babies Breathe', which focuses on the very basic steps and pays attention to comprehensive program development with local ownership and accountability, can help transfer competency into clinical practice and lead to sustainable programs impacting neonatal mortality and morbidity.
产时相关缺氧导致的死亡和残疾仍然是一个全球性挑战，尤其是在资源有限的环境中。分娩期间的一级预防可能会产生重大影响，但以出生时立即进行基本稳定为重点的二级预防可以有效地减少这些不良后果的很大一部分，这在资源丰富的环境中已经得到证实。出生时未能开始和建立自主呼吸的婴儿通常对早期干预有反应，例如干燥、刺激、清除气道，以及在出生后第一分钟内进行的袋面罩通气。简单的复苏教育，如“帮助婴儿呼吸”，专注于非常基本的步骤，并关注具有本地所有权和问责制的综合方案发展，可以帮助将能力转移到临床实践中，并导致对新生儿死亡率和发病率产生影响的可持续方案。
