Dealing with neonatal emergencies in low-resource settings

Semin Fetal Neonatal Med. 2019 Dec;24(6):101028. doi: 10.1016/j.siny.2019.101028. Epub 2019 Sep 23.

Abstract

We describe the development and delivery of neonatal care including trends and impacts of major interventions on neonatal mortality particularly in low-resource settings. Low- and middle-income countries continue to be major contributors to neonatal mortality. Although there has been progress in reducing neonatal mortality, neonatal deaths are contributing an increasing percentage of childhood mortality. Several interventions targeting neonatal care such as neonatal resuscitation and essential newborn care have contributed to improved outcomes. However, there are still many neonatal deaths that are preventable with known effective interventions. This review addresses interventions proven effective in reducing neonatal mortality, challenges to implement them, and future directions of implementing these interventions in low- and middle-income countries.

Keywords: Countries; Developing; Neonatal mortality/ history; Neonatal mortality/ therapy; Neonatal mortality/epidemiology; Neonatal mortality/trends; Resuscitation.

MeSH terms

  • Developing Countries / statistics & numerical data
  • Emergencies / epidemiology
  • Female
  • Health Services Needs and Demand
  • Humans
  • Infant
  • Infant Health / standards*
  • Infant Mortality / trends*
  • Infant, Newborn
  • Infant, Newborn, Diseases* / mortality
  • Infant, Newborn, Diseases* / prevention & control
  • Infant, Newborn, Diseases* / therapy
  • Male
  • Postnatal Care / organization & administration*
  • Preventive Health Services / methods
  • Preventive Health Services / organization & administration
  • Quality Improvement