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国家妇幼卫生保健+A 项目:改善印度新生儿健康的新策略。

National Program for RMNCH + A: Newer Strategies for Improving the Newborn Health in India.

机构信息

Department of Neonatology, Maulana Azad Medical College, New Delhi, 110002, India.

出版信息

Indian J Pediatr. 2019 Jul;86(7):617-621. doi: 10.1007/s12098-019-02867-x. Epub 2019 Feb 8.

DOI:10.1007/s12098-019-02867-x
PMID:30737624
Abstract

RMNCH+A is a platform for delivering adolescent, maternal, newborn and child health in an integrated manner using a life cycle approach. The new initiatives under this strategy that would impact newborn health include antenatal corticosteroids in preterm labor, delayed clamping of cord at birth, skin-to-skin contact at birth and Kangaroo mother care, Family participatory care, Lactation management centers and care beyond newborn survival under the Rashtriya Bal Swasthya Karyakram. Even though the coverage of many of the existing initiatives has been moderately high, there are concerns about the quality of delivery of these interventions and slow progress in the roll out of the newer interventions. Quality assurance initiative such as Dakshata and LaQshaya will also contribute to improved newborn health as we proceed towards the Sustainable development goals (SDG) 2030 targets for newborn and child survival.

摘要

RMNCH+A 是一个平台,用于通过生命周期方法以综合方式提供青少年、孕产妇、新生儿和儿童健康服务。该战略下的新举措将影响新生儿健康,包括早产时使用产前皮质激素、出生时延迟脐带结扎、出生时皮肤接触和袋鼠式护理、家庭参与式护理、哺乳管理中心以及在 Rashtriya Bal Swasthya Karyakram 下超越新生儿生存的护理。尽管许多现有举措的覆盖面已经相当高,但人们对这些干预措施的提供质量以及新干预措施的推广进展缓慢表示关注。随着我们朝着 2030 年可持续发展目标(SDG)新生儿和儿童生存目标迈进,质量保证举措(如 Dakshata 和 LaQshaya)也将有助于改善新生儿健康。

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本文引用的文献

1
Safety of delayed umbilical cord clamping in preterm neonates of less than 34 weeks of gestation: a randomized controlled trial.孕34周以下早产儿延迟脐带结扎的安全性:一项随机对照试验。
Obstet Gynecol Sci. 2018 Nov;61(6):655-661. doi: 10.5468/ogs.2018.61.6.655. Epub 2018 Oct 29.
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Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth.用于加速早产风险女性胎儿肺成熟的产前皮质类固醇。
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Kangaroo mother care to reduce morbidity and mortality in low birthweight infants.
印度的儿童健康政策:从可辨别的过去迈向充满希望的未来。
Indian J Pediatr. 2019 Jun;86(6):520-522. doi: 10.1007/s12098-019-02968-7. Epub 2019 Apr 29.
袋鼠式护理可降低低体重儿的发病率和死亡率。
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A population-based, multifaceted strategy to implement antenatal corticosteroid treatment versus standard care for the reduction of neonatal mortality due to preterm birth in low-income and middle-income countries: the ACT cluster-randomised trial.一项基于人群的、多方面的策略,旨在实施产前皮质类固醇治疗与标准护理,以降低低收入和中等收入国家因早产导致的新生儿死亡率:ACT 整群随机试验。
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6
Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost?现有的干预措施能否终结可预防的孕产妇、新生儿和死产死亡,并需要付出什么代价?
Lancet. 2014 Jul 26;384(9940):347-70. doi: 10.1016/S0140-6736(14)60792-3. Epub 2014 May 19.
7
Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes.足月儿脐带结扎时机对母婴结局的影响。
Cochrane Database Syst Rev. 2013 Jul 11;2013(7):CD004074. doi: 10.1002/14651858.CD004074.pub3.