Babies born too early or too small should be kept in “skin-to-skin” contact with a caregiver rather than being put in an incubator straight after birth to improve their chances of survival, the World Health Organization said.
The new guidelines around “kangaroo mother care” mark a significant shift from current protocols for premature babies
and the UN health agency’s earlier advice. The guidelines are also particularly pertinent for births in areas with poor access
to technology and reliable electricity, the WHO said.
“These guidelines show that improving outcomes for these tiny babies is not always about providing the most high-tech solutions,” said WHO Director General Tedros Adhanom Ghebreyesus. The guidelines apply to all infants born before 37 weeks of pregnancy or under 2.5kg (5.5 pounds) in weight, except for babies that need breathing support, mechanical ventilation, or are in shock.
Kangaroo care involves wrapping premature or tiny newborns in a sling worn by a caregiver, usually the mother, instead of separating them from their parents straight after birth to provide care.
Babies born early often lack body fat and can have problems regulating their temperature or breathing. Previously, recommendations called for their condition to be stabilized in an incubator or warmer straight after birth, which the WHO says
typically took around 3-7 days.
But new research has shown that starting kangaroo care and encouraging breastfeeding immediately, rather than after the
babies are stable, could save up to 150,000 lives a year.
WHO said the change required a rethink of how tiny babies are cared for, including more support for families to remain with their infants. Skin-to-skin care as soon as possible is already the gold standard for healthy babies born at term.
Globally, 15 million babies a year, or 1 in 10, are born prematurely, and 20 million have a low birth weight. Prematurity is the leading cause of death for children under 5.
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