Tab Article
Though neonatal services have made tremendous improvements in developing countries like India, there are a number of challenges to be met as neonatal mortality and morbidity remain unacceptably high. Lower perinatal and neonatal mortality have been achieved in developed countries following the advancement of neonatal care, the introduction of high technologies, and better knowledge of the pathophysiology of newborn infants. It is necessary to prioritize neonatal care in developing countries; proper and timely resuscitation of the newborn by well-trained pediatricians, prevention of nosocomial infections by using sterilized equipment, avoiding indiscriminate use of antibiotics, thorough hand washing before examination of the baby, isolation of infected babies and by following aseptic procedures. Other simpler measures include warming devices for maintenance of body temperature of the newborn babies, blood glucose monitoring, and antenatal steroids for mothers in premature labor, effective management of jaundice to prevent kernicterus, and nasal CPAP for mild RDS, etc. A substantial proportion of sick newborn infants still require advanced NICU care, which is prohibitively expensive and not affordable by most of the parents in India.
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