Small vulnerable newborns-big potential for impact (vol 401, pg 1692, 2023)

被引：90

作者：

Ashorn, P.

Ashorn, U.

Muthiani, Y.

机构：

[1] Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere

[2] Department of Paediatrics, Tampere University Hospital, Tampere

[3] Sight and Life, Kaiseraugst

[4] Indian Council for Medical Research, New Delhi

[5] Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD

[6] Paul H Nitze School of Advanced International Studies, Johns Hopkins University, Baltimore, MD

[7] United Nations Children's Fund, New York, NY

[8] Center for Nutrition, Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA

[9] Department of Obstetrics and Gynaecology, University of Botswana, Gaborone

[10] Effective Care Research Unit, University of the Witwatersrand, Johannesburg

[11] Department of Obstetrics and Gynaecology, Walter Sisulu University, East London

[12] Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford

[13] UCL Great Ormond Street Institute of Child Health, University College London, London

[14] Maternal, Adolescent, Reproductive & Child Health Centre, London School of Hygiene & Tropical Medicine, London

[15] Condon, MT

[16] Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi

来源：

LANCET | 2023年 / 401卷 / 10389期

关键词：

D O I：

10.1016/S0140-6736(23)00354-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Despite major achievements in child survival, the burden of neonatal mortality has remained high and even increased in some countries since 1990. Currently, most neonatal deaths are attributable to being born preterm, small for gestational age (SGA), or with low birthweight (LBW). Besides neonatal mortality, these conditions are associated with stillbirth and multiple morbidities, with short-term and long-term adverse consequences for the newborn, their families, and society, resulting in a major loss of human capital. Prevention of preterm birth, SGA, and LBW is thus critical for global child health and broader societal development. Progress has, however, been slow, largely because of the global community's failure to agree on the definition and magnitude of newborn vulnerability and best ways to address it, to frame the problem attractively, and to build a broad coalition of actors and a suitable governance structure to implement a change. We propose a new definition and a conceptual framework, bringing preterm birth, SGA, and LBW together under a broader umbrella term of the small vulnerable newborn (SVN). Adoption of the framework and the unified definition can facilitate improved problem definition and improved programming for SVN prevention. Interventions aiming at SVN prevention would result in a healthier start for live-born infants, while also reducing the number of stillbirths, improving maternal health, and contributing to a positive economic and social development in the society. © 2023 Elsevier Ltd

引用

页码：1654 / 1654

页数：1