St Clair Nicole E, Batra Maneesh, Kuzminski Jacquelyn, Lee Anne C C, O'Callahan Cliff
Global Health Program, Department of Pediatrics, Children's Corporate Center, Medical College of Wisconsin, Suite C560, PO Box 1997, Milwaukee, WI 53201-1997, USA.
Division of Neonatology, Department of Pediatrics, University of Washington School of Medicine, 4800 Sand Point Way Northeast Mailstop M1-12, Seattle, WA 98105, USA.
Clin Perinatol. 2014 Dec;41(4):749-72. doi: 10.1016/j.clp.2014.08.002. Epub 2014 Nov 19.
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.
诸如清洁分娩操作、立即保暖、脐带护理和新生儿复苏等简单、低成本且基于证据的干预措施能够预防全球40%至70%的新生儿死亡，但诸多障碍使得无法为所有新生儿提供这些基本干预措施，尤其是在资源匮乏地区。全球范围内的努力已促使新生儿临床实践指南、培训项目和政策得到广泛发展。由于医疗资源短缺，护理标准已重新界定以满足服务不足人群的需求。本文概述了资源匮乏地区围绕新生儿健康所面临的挑战、做出的努力以及存在的争议。
