WHO releases new guidelines for survival of small, preterm babies

The World Health Organization (WHO) has revealed that prematurity is the leading cause of death of under five children.

The revelation was made on 15 November when WHO released new guidelines to improve survival and health outcomes for babies born early.

The new guidelines advise that skin to skin contact with a caregiver – known as kangaroo mother care – should start immediately after birth, without any initial period in an incubator.

This marks a significant change from earlier guidance and common clinical practice, reflecting the immense health benefits of ensuring caregivers and their preterm babies can stay close, without being separated, after birth.

The guidelines also provide recommendations to ensure emotional, financial and workplace support for families of very small and preterm babies, who can face extraordinary stress and hardship because of intensive caregiving demands and anxieties around their babies’ health.

“Preterm babies can survive, thrive, and change the world – but each baby must be given that chance,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

“These guidelines show that improving outcomes for these tiny babies is not always about providing the most high-tech solutions, but rather ensuring access to essential healthcare that is centered around the needs of families.”

On the other hand, WHO medical officer for newborn health Dr Karen Edmond indicated that, “The first embrace with a parent is not only emotionally important, but also absolutely critical for improving chances of survival and health outcomes for small and premature babies.”

“Through COVID-19 times, we know that many women were unnecessarily separated from their babies, which could be catastrophic for the health of babies born early or small. These new guidelines stress the need to provide care for families and preterm babies together as a unit, and ensure parents get the best possible support through what is often a uniquely stressful and anxious time,” Dr Edmond said.

Prematurity is an urgent public health issue. Every year, an estimated 15 million babies are born preterm globally.

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