Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers' voices and experiences.
Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers' voices and experiences.
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DOI：
10.1136/bmjgh-2020-004347
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发表时间：
2021-03
影响因子：
8.1
通讯作者：
COVID-19 Small and Sick Newborn Care Collaborative Group
中科院分区：
文献类型：
--
作者：
Rao SPN;Minckas N;Medvedev MM;Gathara D;Y N P;Seifu Estifanos A;Silitonga AC;Jadaun AS;Adejuyigbe EA;Brotherton H;Arya S;Gera R;Ezeaka CV;Gai A;Gobezayehu AG;Dube Q;Kumar A;Naburi H;Chiume M;Tumukunde V;Medhanyie AA;Plange-Rhule G;Shabini J;Ohuma EO;Tadele H;W/Gebriel F;Hadgu A;Alamineh L;Mehta R;Molyneux E;Lawn JE;COVID-19 Small and Sick Newborn Care Collaborative Group
COVID-19大流行正在扰乱全球卫生系统。对产妇护理中断情况进行了调查，但没有调查与脆弱的小新生儿有关的情况。我们的目标是调查全球范围内报告的小型和患病新生儿护理中断情况，并对医疗保健提供者的经验进行专题分析，并提出缓解策略。通过使用三种语言的广泛传播的在线调查，我们接触了新生儿医疗保健提供者。我们收集了有关COVID-19准备情况、对卫生人员和新生儿护理服务（包括袋鼠妈妈护理（KMC））的影响以及干扰因素和解决方案的数据。我们分析了来自62个国家的1120份答复，主要是低收入和中等收入国家（LMIC）。就指引及个人防护设备的可用性而言，对COVID-19的准备并不理想。三分之一的人报告对所有孕妇进行常规检测，但13%的人根本没有检测能力。超过85%的卫生人员担心自己的健康，89%的人感到压力增加。由于寻求护理的人减少和劳动力受损，新生儿护理做法受到干扰。超过一半的人报告说，基于证据的干预措施，如KMC被停止或劝阻。据报道，COVID阳性母亲（50%）和状况不明的母亲（16%）都出现了母婴分离。后续护理中断的主要原因是家人害怕去医院（约73%）。新生儿护理提供者压力很大，在大流行期间缺乏关于小新生儿护理的明确性和指导方针。迫切需要保护受到大流行威胁的拯救生命的干预措施，如KMC，并准备好恢复和重建得更好。
The COVID-19 pandemic is disrupting health systems globally. Maternity care disruptions have been surveyed, but not those related to vulnerable small newborns. We aimed to survey reported disruptions to small and sick newborn care worldwide and undertake thematic analysis of healthcare providers’ experiences and proposed mitigation strategies. Using a widely disseminated online survey in three languages, we reached out to neonatal healthcare providers. We collected data on COVID-19 preparedness, effects on health personnel and on newborn care services, including kangaroo mother care (KMC), as well as disruptors and solutions. We analysed 1120 responses from 62 countries, mainly low and middle-income countries (LMICs). Preparedness for COVID-19 was suboptimal in terms of guidelines and availability of personal protective equipment. One-third reported routine testing of all pregnant women, but 13% had no testing capacity at all. More than 85% of health personnel feared for their own health and 89% had increased stress. Newborn care practices were disrupted both due to reduced care-seeking and a compromised workforce. More than half reported that evidence-based interventions such as KMC were discontinued or discouraged. Separation of the mother–baby dyad was reported for both COVID-positive mothers (50%) and those with unknown status (16%). Follow-up care was disrupted primarily due to families’ fear of visiting hospitals (~73%). Newborn care providers are stressed and there is lack clarity and guidelines regarding care of small newborns during the pandemic. There is an urgent need to protect life-saving interventions, such as KMC, threatened by the pandemic, and to be ready to recover and build back better.
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影响因子：
11.1
作者：
Calvello, Emilie J.;Skog, Alexander P.;Wallis, Lee A.
通讯作者：
Wallis, Lee A.
影响因子：
34.3
作者：
Ashish, K. C.;Gurung, Rejina;Malqvist, Mats
通讯作者：
Malqvist, Mats
影响因子：
3.3
作者：
Waiswa, Peter;Nyanzi, Stella;Pariyo, George W.
通讯作者：
Pariyo, George W.
影响因子：
2.6
作者：
Bertino E;Moro GE;De Renzi G;Viberti G;Cavallo R;Coscia A;Rubino C;Tonetto P;Sottemano S;Campagnoli MF;Soldi A;Mostert M;Cresi F;Lembo D;Collaborative Research Group on SARS-CoV-2 in Human Milk
通讯作者：
Collaborative Research Group on SARS-CoV-2 in Human Milk
影响因子：
8
作者：
Lugli, Licia;Bedetti, Luca;Berardi, Alberto
通讯作者：
Berardi, Alberto