Health professional
The equipment used in transport must comply with several general characteristics:
• Appropriate for the age group and for the health problems to be managed.
• Lightweight, portable, rugged and easy to clean
• It must be securely fastened in the transport vehicle for patient and equipment safety.
• Tested in transport conditions (temperature, altitude, vibration).
It is essential to have equipment that allows for:
To establish lactation when an extremely premature birth occurs, it is important:
1) Manually expressing colostrum, within the first three hours after birth, initiates the milk production process and has several benefits:
- It empties the mammary gland which, together with the action of the hormones that promote labor and delivery, are a powerful stimulus to initiate milk production.
El Código se aplica en todos los países, con independencia de lo establecido en las políticas nacionales sobre la alimentación de los lactantes cuyas madres están infectadas por el VIH. La aplicación del código es fundamental para que no disminuyan las tasas de lactancia materna.
The daily application of chlorhexidine to the umbilical cord stump in the first postnatal week is a recommendation that depends on the settings.
The only scenario that supports its use is where traditionally noxious substances (e.g., animal manure) are used on the umbilical cord. In newborns with unhygienic cord care (defined as the use of noxious substances on the cord, such as dust, clay, mud, and animal manure), chlorhexidine reduced mortality.
In addition to the implementation of the International Code of Marketing of Human Milk Substitutes, other complementary actions are needed to promote the optimal feeding of infant and young children. The Breastfeeding Promotion Initiative led by WHO and UNICEF, aims to increase global commitment to breastfeeding. In addition to achieving full implementation of the code through strong legal measures, the initiative's call to action urges governments, donors and partners to do the following:
• Increase funding for breastfeeding promotion initiatives.
Any type of promotion of breastmilk substitutes, bottles and teats should be completely prohibited at health care facilities, as established by the International Code of Marketing of Human Milk Substitutes and subsequent relevant resolutions of the World Health Assembly. In addition, no free or subsidized donations of breast milk substitutes or other products, gifts or samples may be given to health workers at any health system facility.
Regarding the administration of feeding the premature newborns in intensive care areas, the written breastfeeding policy should explicit issues related to the:
If the newborn’s clinical condition is favorable, skin-to-skin contact should be initiated immediately after birth.
The vital signs of mother and baby should be checked regularly to monitor their well-being. The person accompanying the patient, family member, doula or health care staff should monitor the woman’s wakefulness to protect the newborn’s safety in this vulnerable period.
The International Code of Marketing of Human Milk Substitutes requires appropriate actions to enforce its principles and objectives, including the adoption of national laws and regulations or other relevant measures. All actions should be made public. Since the code is a minimum requirement, governments can adopt additional measures - potentially more stringent than those set out in the code - and make them legally binding.
Necrotizing enterocolitis (NEC) is one of the most serious morbidities in preterm infants (PTNB). It is an inflammatory disease of the bowel that can cause perforation of the gut and peritonitis. Its underlying cause would be multifactorial. Some theories blame intestinal mucosal injury, inflammation and the presence of abnormal gut colonization.
Feeding PTNBs with human milk (HM) seems to have a preponderant role in the reduction of NEC, even if the supply of HM is partial.