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[早期基本新生儿护理(EENC):终结可预防新生儿死亡的优先干预措施]

[Early essential newborn care (EENC): The prioritized intervention to end preventable newborn deaths].

作者信息

Xu T

机构信息

National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing 100081, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2020 May 6;54(5):498-502. doi: 10.3760/cma.j.cn1112150-20190614-00477.

DOI:10.3760/cma.j.cn1112150-20190614-00477
PMID:32388949
Abstract

Newborn death accounts for half of under 5 child death in China. Decreasing neonatal mortality and improving health status of children at early stage of life have great significance on public health. This is also a solution to accomplish the goal of "ending preventable newborn deaths" of the 2030 Agenda for Sustainable Development. According to the World Health Organization, many causes leading to newborn deaths can be prevented and avoided by simple interventions. "Early Essential Newborn Care (EENC) " is a package of simple interventions that include early mother to child skin to skin contact, delayed umbilical cord clamping, breast feeding, kangaroo mother care for preterm, neonatal resuscitation, and infection identifying and treatment. These prioritized evidence-based interventions can improve the content and quality of newborn health care, which are bound to be promoted and implemented throughout the country. Future research should be conducted to explore solutions to solve difficulties and challenges of EENC implementation.

摘要

新生儿死亡占中国5岁以下儿童死亡的一半。降低新生儿死亡率并改善生命早期儿童的健康状况对公共卫生具有重大意义。这也是实现《2030年可持续发展议程》中“消除可预防的新生儿死亡”目标的一个办法。根据世界卫生组织的说法,许多导致新生儿死亡的原因可以通过简单的干预措施来预防和避免。“早期基本新生儿护理(EENC)”是一系列简单的干预措施,包括早期母婴皮肤接触、延迟脐带结扎、母乳喂养、对早产儿的袋鼠式护理、新生儿复苏以及感染识别与治疗。这些基于证据的优先干预措施可以提高新生儿保健的内容和质量,必将在全国范围内得到推广和实施。未来应开展研究,探索解决EENC实施过程中困难和挑战的办法。

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引用本文的文献

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BMC Health Serv Res. 2022 Sep 21;22(1):1185. doi: 10.1186/s12913-022-08570-6.
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Effectiveness of early essential newborn care on breastfeeding and maternal outcomes: a nonrandomized controlled study.早期基本新生儿护理对母乳喂养和产妇结局的效果:一项非随机对照研究。
BMC Pregnancy Childbirth. 2022 Sep 14;22(1):707. doi: 10.1186/s12884-022-05037-8.
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Effects of early essential newborn care versus routine birth care on physiological variables and sleep state among newborn infants: a quasi-experimental design.
早期基本新生儿护理与常规出生护理对新生儿生理变量和睡眠状态的影响:准实验设计。
BMC Pediatr. 2022 Mar 11;22(1):127. doi: 10.1186/s12887-022-03194-5.