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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Small vulnerable newborns-big potential for impact.

Per Ashorn1, Ulla Ashorn2, Yvonne Muthiani2

  • 1Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Department of Paediatrics, Tampere University Hospital, Tampere, Finland.

Lancet (London, England)
|May 11, 2023
PubMed
Summary
This summary is machine-generated.

Preventing small vulnerable newborns (SVN), defined as preterm, small for gestational age, or low birthweight infants, is crucial for reducing neonatal mortality and improving child survival globally. A unified definition and framework can enhance prevention strategies and outcomes.

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Area of Science:

  • Neonatal health
  • Global child survival
  • Public health policy

Background:

  • Neonatal mortality remains high globally, with preterm birth, small for gestational age (SGA), and low birthweight (LBW) being primary causes.
  • These conditions contribute to stillbirths, infant morbidities, and long-term adverse consequences, impacting human capital and societal development.
  • Slow progress in prevention is attributed to a lack of consensus on definitions, problem framing, and governance structures.

Purpose of the Study:

  • To propose a new definition and conceptual framework for newborn vulnerability.
  • To unify preterm birth, SGA, and LBW under the umbrella term 'small vulnerable newborn' (SVN).
  • To facilitate improved problem definition and programming for SVN prevention.

Main Methods:

  • Conceptual framework development.
  • Literature review on neonatal mortality and vulnerability factors.
  • Proposal of a unified definition for SVN.

Main Results:

  • A new conceptual framework and definition for the 'small vulnerable newborn' (SVN) are proposed.
  • This unified approach aims to consolidate efforts in addressing preterm birth, SGA, and LBW.
  • The framework is expected to improve problem definition and programming for SVN prevention.

Conclusions:

  • Adopting the SVN framework and definition can enhance global efforts to prevent neonatal mortality and morbidity.
  • Effective SVN prevention strategies will lead to healthier infant starts, reduced stillbirths, improved maternal health, and positive socioeconomic development.
  • A unified approach is critical for building a broad coalition and effective governance for change in neonatal care.