High

Sometimes, several vaccines must be administered simultaneously during pregnancy; such is the case of Tdap (tetanus and diphtheria toxoids with acellular pertussis vaccine) and influenza vaccine, for instance.
In studies that enrolled non-pregnant individuals to assess the safety of concurrent administration of Tdap and influenza vaccines, compared to their separate use, there was no evidence of increased risk of adverse events.

Several vaccines can be safely administered during pregnancy. In 2014, the WHO Global Advisory Committee on Vaccine Safety conducted a comprehensive assessment of the existing scientific data on the safety of vaccines during pregnancy, concluding that:
- Pregnancy should not prevent pregnant women from receiving a vaccine.
- Although live or attenuated microbial vaccines, such as the MMR vaccine, might pose a theoretical risk to the fetus, no major vaccination-associated adverse outcomes have been reported.

Having a written breastfeeding policy allows to:

- Make the various actors at the facilities agree to comply with practices that favor breastfeeding.
- Make the medical and nursing staff take ownership of the topic.
- Have recommendations applicable to specific environments.
- Monitor, evaluate and obtain data on breastfeeding practices and their effects, e.g., through audits.
- Exchange views within and outside the institution, involving more actors, sharing experiences and facilitating the replication of good practices.

The development of the breastfeeding policy varies broadly; it should include breastfeeding experts and avoid commercial links with products and companies regulated by the International Code of Human Milk Substitutes.

A committee including high-level representation from all stakeholders may be appointed to develop the policy. Once the necessary agreements are reached, the committee should continue to monitor the proper implementation of the policy.

Standards and policies to strengthen breastfeeding at birthing facilities should be written. This feature is important to sustain unanimity of criteria in practices.

Furthermore, the policy should consider the 10 steps set forth by the World Health Organization for successful breastfeeding, i.e.

- available for consultation by all personnel

- visibly displayed in all areas of the hospital

- written in the language(s) most frequently understood by patients and staff.

Early learning is any opportunity for an infant, toddler or older child to interact with a person, place or object in their surroundings. Such interactions contribute to brain development and lay the foundation for later learning.
Activities that support early learning in the newborn period include making eye contact, smiling, talking, singing, and gently massaging the infant. Responding in a timely manner or anticipating the infant's cues also promotes early learning.

Early learning is defined as any opportunity for an infant, toddler, or older child to interact with a person, place or object around them. Such (positive or negative) interactions, or lack thereof, contribute to brain development and lay the foundation for later learning.
Infants and children should engage in early learning activities with their fathers, mothers and other caregivers between 0 and 3 years after birth.
Activities that support early learning in the neonatal period include making eye contact, smiling, talking, singing, and gently massaging the infant.

Banked human milk is the alternative for feeding premature newborns because it allows them to receive a diet consisting of exclusive human milk when the baby’s own mother's milk is unavailable, scarce or contraindicated.

It should be noted that BHM is superior to artificial formula.

Human milk banks should have standards and procedures in place to ensure that they provide sustainability, safety, and appropriate clinical and ethical use.

Since 2011, November 17 has been recognized as the World Prematurity Day in order to give visibility to this problem, raise awareness of the needs and rights of premature babies and their families, sensitize decision makers, health teams and the whole society about the importance of experience and quality care, to advance policies that guarantee the full rights of both babies and families.

Kangaroo mother care is an intervention that enables the mother to assume a central role in her own and her newborn's care, thus ensuring that the lead role remains with the mother and that health workers support and respond to the mother’s and newborn’s needs.