Department of Emergency Medicine, KK Women's and Children's Hospital, 100, Bukit Timah Road, 229899, Singapore; Duke-NUS Medical School, 8, College Road, 169857, Singapore.
Laerdal Medical Corporation, Laerdal Global Health, Tanke Svilandsgate 30, P.O. Box 377, N-4002, Stavanger, Norway.
Resuscitation. 2018 Dec;133:71-74. doi: 10.1016/j.resuscitation.2018.09.027. Epub 2018 Oct 4.
Perinatal and neonatal deaths account for an increasing proportion of deaths under 5 years old. We present essential elements to reduce perinatal mortality, barriers to establishing these elements, and the role of developing emergency care systems. Essential elements for prompt perinatal and postnatal care are categorised based on care-seeking behaviours, access to a primary care facility and for the severely ill, access to advanced neonatal care. The role of emergency care systems is key to overcoming obstacles currently faced in countries with high perinatal and neonatal mortality rates.
围产儿和新生儿死亡占 5 岁以下儿童死亡的比例不断增加。我们提出了降低围产儿死亡率的基本要素，以及建立这些要素的障碍和发展紧急护理系统的作用。根据寻求护理的行为、获得初级保健设施的机会以及重症患者获得先进新生儿护理的机会，对及时进行围产期和产后护理的基本要素进行了分类。紧急护理系统的作用对于克服围产儿和新生儿死亡率高的国家目前面临的障碍至关重要。
