Low Birth Weight and Preterm Neonates: Can they be Managed at Home by Mother and a Trained Village Health Worker?

Abstract

Home-based management of LBW and the preterm neonates is feasible and effective. It remarkably improved survival by preventing comorbidities, by supportive care, and by treating infections.

Rates, timing and causes of neonatal deaths in rural India: implications for neonatal health programmes

“…5,6 Early postnatal vitamin A dosing; 34 promotion of early and exclusive breastl l feeding; 6,35 hypothermia prevention and management, including skinltolskin care; 36,37 topical skin cleansing with chlorhexidine; 38,39 and topical emollient treatment for hospitalized infants 40,41 may also reduce mortality and morbidity in LBW or preterm neonates. 5,42,43 Furl l thermore, the substantial proportion of early deaths that occurred in the absence of distinct symptoms suggests that prol l grammes to reduce neonatal mortality should also focus on routine, preventive care for all newborn babies in addition to responding to carelseeking for perceived presence of danger signs.…”

“…5,42,43 Furl l thermore, the substantial proportion of early deaths that occurred in the absence of distinct symptoms suggests that prol l grammes to reduce neonatal mortality should also focus on routine, preventive care for all newborn babies in addition to responding to carelseeking for perceived presence of danger signs.…”

Home visits by community health workers to prevent neonatal deaths in developing countries: a systematic review

“…The remaining 13 references, which pertained to 5 trials, were included in the review. [18][19][20][21][22][23][24][25][26][27][28][29][30] Trial characteristics Table 2 summarizes the characteristics of included trials, all of which were conducted in southern Asian countries with high baseline neonatal mortality rates (> 45 deaths per 1000 live births). Sylhet 18 and Shivgarh 20 trials were cluster-randomized and provided cluster-adjusted mortality data.…”

“…With the sole exception of the Gadchiroli trial, [21][22][23][24][25][26][27][28][29] in which the intervention and control groups had only one cluster each, all cluster-and individual-randomized trials were appropriately combined by correcting for a design effect on mortality outcomes. Both random and fixed effects models were used for pooling the data, and the results were invariably synchronous.…”

The physical chemistry of the stratum corneum lipids

“…The range of important problems that the field can help solving is broad. It comprises (i) reducing infant mortality, especially in the developing countries where defective skin barrier is the second major cause of preterm mortality [2][3][4][5][6]; (ii) improving the skin health of some 20-30% of the population in the developed countries which suffer from some sort of skin barrier dysfunction [7,8]; (iii) developing efficient strategies for the dermal and transdermal delivery of drugs and vaccines [9]; (iv) increasing the national and personal security by developing methods to retard or prevent the skin penetration of chemical warfare agents, toxic spills and pesticides [10,11]; (v) enhancing the safety of topical products (e.g. fragrances, cosmetics, cleansing agents, sunscreens and insect repellents) [12].…”