Paediatric Research Group, Department of Clinical Medicine, UiT-The Arctic University of Norway, Tromso, Norway.
Department of Paediatric and Adolescent Medicine, University Hospital of North Norway, Tromso, Norway.
J Perinatol. 2021 May;41(5):988-997. doi: 10.1038/s41372-021-01019-4. Epub 2021 Apr 13.
To evaluate COVID-19 pandemic preparedness, available resources, and guidelines for neonatal care delivery among neonatal health care providers in low- and middle-income countries (LMICs) across all continents.
Cross-sectional, web-based survey administered between May and June, 2020.
Of 189 invited participants in 69 LMICs, we received 145 (77%) responses from 58 (84%) countries. The pandemic provides significant challenges to neonatal care, particularly in low-income countries. Respondents noted exacerbations of preexisting shortages in staffing, equipment, and isolation capabilities. In Sub-Saharan Africa, 9/35 (26%) respondents noted increased mortality in non-COVID-19-infected infants. Clinical practices on cord clamping, isolation, and breastfeeding varied widely, often not in line with World Health Organization guidelines. Most respondents noted family access restrictions, and limited shared decision-making.
Many LMICs face an exacerbation of preexisting resource challenges for neonatal care during the pandemic. Variable approaches to care delivery and deviations from guidelines provide opportunities for international collaborative improvement.
评估 COVID-19 大流行期间，各大洲所有低收入和中等收入国家（LMICs）的新生儿保健提供者在新生儿保健方面的准备情况、可用资源和指导方针。
2020 年 5 月至 6 月期间进行的横断面、基于网络的调查。
在邀请的 189 名参与者中，我们收到了来自 58 个国家的 145 名（77%）来自 69 个 LMICs 的答复。大流行给新生儿护理带来了重大挑战，特别是在低收入国家。受访者指出，人员配备、设备和隔离能力方面先前存在的短缺问题更加严重。在撒哈拉以南非洲，35 名受访者中有 9 名（26%）表示，非 COVID-19 感染婴儿的死亡率有所上升。脐带夹闭、隔离和母乳喂养的临床实践差异很大，通常与世界卫生组织的指导方针不一致。大多数受访者指出了家属探视限制和有限的共同决策。
许多 LMICs 在大流行期间面临新生儿保健方面先前存在的资源挑战加剧的问题。护理提供方式的差异和对指导方针的偏离为国际合作提供了改进的机会。
