首页> 外文期刊>Food and Nutrition Bulletin >Neonatal period: linking best nutrition practices at birth to optimize maternal and infant health and survival. (Special Issue: Maternal, infant, and young child nutrition (MIYCN): Maximizing impacts on child growth and micronutrient status by focusing on maternal nutrition, delivery practices, and improved infant and young childfeeding.)
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Neonatal period: linking best nutrition practices at birth to optimize maternal and infant health and survival. (Special Issue: Maternal, infant, and young child nutrition (MIYCN): Maximizing impacts on child growth and micronutrient status by focusing on maternal nutrition, delivery practices, and improved infant and young childfeeding.)

机译:新生儿期:将出生时的最佳营养做法联系起来,以优化母婴健康和生存。 (特刊:母体,婴幼儿营养(MIYCN):通过关注母体营养,分娩方式以及改善婴幼儿喂养,最大限度地提高对儿童生长和微量营养素状况的影响。)

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摘要

Delayed umbilical cord clamping, immediate skin-to-skin contact, and early initiation of breastfeeding have been shown to be simple, safe, and effective and should be implemented in all deliveries, with very few exceptions. Although these practices can also prevent death, their importance extends beyond survival and optimizes both short- and long-term neonatal and maternal health and nutrition. Their implementation requires that they be integrated with one another and included with other standard lifesaving care practices. Leveraging knowledge of efficacious interventions into high-quality programs with broad coverage is often the main obstacle to improving neonatal and maternal health in low-income countries. To achieve results at-scale, attention must be given to increasing access to scientific information supporting evidence-based practices and addressing the skills needed to implement the recommended practices; establishing and communicating global, national, and local policies and guidelines for implementation in conjunction with advocacy and synchronization with other maternal and neonatal care efforts; reorganizing delivery care services; and monitoring and evaluation. This will require international investments similar to those being made for other lifesaving neonatal interventions. Neonatal vitamin A supplementation, recommended for implementation in Asia, is controversial, and the evidence for and against this recommendation is reviewed.
机译:延迟的脐带夹持,立即的皮肤与皮肤的接触以及及早开始母乳喂养已被证明是简单,安全和有效的,除少数例外,应在所有分娩中实施。尽管这些做法也可以防止死亡,但其重要性已超出生存范围,并优化了短期和长期的新生儿和产妇的健康和营养。它们的实施要求它们彼此集成并包含在其他标准的救生护理实践中。将有效干预措施的知识用于覆盖广泛的高质量计划,通常是改善低收入国家新生儿和孕产妇健康的主要障碍。为了实现大规模的结果,必须注意增加获得支持循证实践的科学信息的机会,并解决实施推荐实践所需的技能;与其他产妇和新生儿保健工作的倡导和同步工作一起,制定和交流全球,国家和地方的实施政策和准则;重组送货护理服务;以及监控和评估。这将需要与其他挽救生命的新生儿干预类似的国际投资。推荐在亚洲实施的新生儿维生素A补充剂尚存争议,并对此支持和反对的证据进行了审查。

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