#WorldPrematurityDay #Health4all #RMC

Women and adolescent girls have the right to decide whether, when and with whom they want to have children. #genderinequalities still impact the ability of women and girls to achieve good health outcomes and realize their human rights and full potential.
Respectful care before, during and after pregnancy should become a standard.
Give all women and adolescent girls information and access to care, including family planning and knowledge around risk factors.
Implement high quality, equitable healthcare to women and girls, including midwife-led continuity of care, and nutrition throughout their life-course, irrespective of their pregnancy intentions.
Women have the right to access quality care for preterm babies.

Go purple! by wearing purple, lighting your home or office purple, light a purple candle in your window, inviting to a purple meal, or coming up with your own ways to turn the world purple for this day in support of preterm birth awareness. Share on social media with #WorldPrematurityDay.
Hang up a sock-line with 9 (white) baby socks and one smaller (purple) baby sock as a symbol to raise awareness for preterm birth. Share on social media with #WorldPrematurityDay. Host public talks, exhibitions of preemie “sock-lines” in market squares

Have parents of preterm children lead information sessions, create posters and lead public petitions.

Work with staff at hospitals and health facilities to organize a “Week of Purple,” holding education and information sessions, or organizing celebration events for preterm infants.

Make or renew a commitment of action on preterm birth and newborn survival as part of your commitment to the Global Strategy for Women’s, Children’s and Adolescents’ Health through the Every Woman Every Child platform: www.everywomaneverychild.org /commitments

Take the Kangaroo Mother Care Challenge and post photos on social media – with #KMCChallenge and #WorldPrematurityDay

@WorldPrematurityDay.

The World Prematurity Day Facebook page www.facebook.com/worldprematurityday is the social media hub for this campaign and is designed to collect and share stories and news and spread messages about World Prematurity Day and preterm birth. We encourage participants to share preterm birth stories from around the world with a post or on this interactive map to help put a face on the issue of preterm birth. The Facebook page will also feature photographs and messages from global events being held around World Prematurity Day. When posting to your social media sites please add in your post @WorldPrematurityDay.

Two key reports from 2019 relating to World Prematurity Day include:
 The report “Nurturing Care for Small and Sick Newborns: Evidence Review and Country Case Studies” (bit.ly/2Vxgr9r) aims to summarize the evidence and best practices on nurturing care approaches for small and sick newborns focusing on core elements of developmentally supportive care, which is disease-independent but vital to promoting healthy growth and well-being.
 The report “Survive and thrive: transforming care for every small and sick newborn” (bit.ly/care4everynewborn) calls for investing in quality inpatient neonatal care and designating facilities for specialized and intensive newborn care. Governments, health professionals, parents and other partners are encouraged to join this movement in supporting continued investment in health systems that respond to the needs of the most vulnerable to achieve the vision of a better world for every mother and newborn.

#WorldPrematurityDay

140 million births per year – 2.5 million neonatal deaths annually!

1 million deaths per year are from #PretermBirth – the leading cause of under-5 child death worldwide. ( 47% of all under-five #child deaths happen during the first 28 days of life.)

The most vulnerable babies are those in marginalized groups, rural areas, urban slum environments and humanitarian settings.
We could prevent 86% of newborn deaths due to prematurity if known solutions reached #EveryNewborn.

Midwife-led continuity of care reduces preterm birth by 24%. https://www.evidentlycochrane.net/midwife-led-continuity-of-care/ #MidwivesMatter

More innovative service-delivery approaches & cost-effective health-care technologies will save lives.

Engage communities around adherence of quality service and access to care, especially amongst the most vulnerable populations

Ensure high quality care for every baby everywhere.

Take action bit.ly/HNN-WPD2019 #BornTooSoon


#WorldPrematurity: Day #NurturingCare :

Nurturing Care ensures the best start in life & will help babies survive & thrive.

Simple, cost-effective ways to promote developmentally supportive care: gentle touch, skin-to-skin care, #kangaroocare, early #breastfeeding, age-appropriate stimulation and interaction, protection from noise and bright light, or nesting.

Zero separation maintains infant-parent unity and protects the family bond.

Empower fathers to participate in Nurturing Care and be included in the family unit in facilities.

Ensure communication between health providers and families on preterm babies’ special needs, and provide physical and emotional support to the family.

Partnership between health providers and parents is necessary to provide Nurturing Care, and improves outcomes for babies.

From Healthy Newborn Network. The positive impact of delayed cord clamping even on respiratory depressed babies.

Background

Experiments have shown improved cardiovascular stability in lambs if umbilical cord clamping is postponed until positive pressure ventilation is started. Studies on intact cord resuscitation on human term infants are sparse. The purpose of this study was to evaluate differences in clinical outcomes in non-breathing infants between groups, one where resuscitation is initiated with an intact umbilical cord (intervention group) and one group where cord clamping occurred prior to resuscitation (control group).

Methods

Randomized controlled trial, inclusion period April to August 2016 performed at a tertiary hospital in Kathmandu, Nepal. Late preterm and term infants born vaginally, non-breathing and in need of resuscitation according to the ‘Helping Babies Breathe’ algorithm were randomized to intact cord resuscitation or early cord clamping before resuscitation. Main outcome measures were saturation by pulse oximetry (SpO2), heart rate and Apgar at 1, 5 and 10 minutes after birth.

Results

At 10 minutes after birth, SpO2 (SD) was significantly higher in the intact cord group compared to the early cord clamping group, 90.4 (8.1) vs 85.4 (2.7) %, P < .001). In the intact cord group, 57 (44%) had SpO2 < 90% after 10 minutes, compared to 93 (100%) in the early cord clamping group, P < 0.001. SpO2 was also significantly higher in the intervention (intact cord) group at one and five minutes after birth. Heart rate was lower in the intervention (intact cord) group at one and five minutes and slightly higher at ten minutes, all significant findings. Apgar score was significantly higher at one, five and ten minutes. At 5 minutes, 23 (17%) had Apgar score < 7 in the intervention (intact cord) group compared to 26 (27%) in the early cord clamping group, P < .07. Newborn infants in the intervention (intact cord) group started to breathe and establish regular breathing earlier than in the early cord clamping group.

Conclusions

This study provides new and important information on the effects of resuscitation with an intact umbilical cord. The findings of improved SpO2 and higher Apgar score, and the absence of negative consequences encourages further studies with longer follow-up.

Click the link below to access the article.

https://www.healthynewbornnetwork.org/hnn-content/uploads/Intact-cord-resuscitation-versus-early-cord-clamping-in-the-treatment-of-depressed-newborn-infants-during-the-first-10-minutes-of-birth-a-randomized-control-trial.pdf

World Prematurity Day is an opportunity to call attention to the heavy burden of death and disability and the pain and suffering that preterm birth causes. It is also a chance to talk about solutions. The multitude of events organized around the globe on World Prematurity Day remain the heart of the effort. Each year, an increasing number of countries have observed World Prematurity Day by organizing national and local events, including public art installations, parliamentary hearings, health professional meetings, and marches.

Every year, 15 million babies are born prematurely – more than one in ten of all babies around the world. World Prematurity Day is a key moment to focus global attention on the leading cause of child deaths under age 5: complications from preterm birth,  which account for nearly 1 million deaths each year (UNICEF). Without a major push to reduce these deaths, we will not reach the global goal endorsed by 193 countries to end all preventable newborn and child deaths by 2030.

World Prematurity Day initiatives aim to increase awareness, reach and engagement around the world about the issues of premature birth, newborn health and survival. This can be accomplished through your participation in a variety of ways, such as organizing an activity or event, and sharing advocacy messages on social media.

Do you have a personal experience with #PretermBirth? Help us mark #WorldPrematurityDay by sharing your story: po.st/8AIv7b

This resource has just been released. One of NNASA’s board was a contributing author.

Click below to access the document.