Section of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA,
Neonatology. 2020;117(2):211-216. doi: 10.1159/000507025. Epub 2020 May 26.
Achieving the targets of the Every Newborn Action Plan by the year 2030 will require accelerating the current reduction in neonatal mortality. Educational programs addressing the three major causes of neonatal death - intrapartum-related events (asphyxia), prematurity and small size at birth, and infection - have the potential to significantly reduce preventable mortality. Helping Babies Breathe is an example of an educational program that not only has given health care providers around the world access to current resuscitation science but has changed provider behavior and patient outcomes and resulted in perinatal quality improvement in small- and large-scale trials. However, to realize impact on neonatal mortality at the population level, perinatal educational programs that comprehensively address all aspects of essential newborn care must be implemented at scale with high coverage and quality.
要在 2030 年之前实现《每个新生儿行动计划》的目标，就需要加快目前降低新生儿死亡率的速度。针对导致新生儿死亡的三个主要原因（分娩期间相关事件（窒息）、早产和出生时体重过轻以及感染）的教育计划有可能显著降低可预防的死亡率。《新生儿复苏教程》就是一个教育项目的例子，它不仅让世界各地的医疗保健提供者获得了最新的复苏科学知识，还改变了提供者的行为和患者的结果，并在小规模和大规模试验中实现了围产期质量的改进。然而，要想在人口层面上对新生儿死亡率产生影响，就必须大规模全面实施涵盖基本新生儿护理各个方面的围产期教育计划，同时要保证高覆盖率和高质量。
