Global health-care interventions for preterm and low birthweight infants.

Abstract

Journal of Paediatrics and Child HealthVolume 58, Issue 9 p. 1702-1703 Heads UpFree Access Global health-care interventions for preterm and low birthweight infants First published: 25 August 2022 https://doi.org/10.1111/jpc.16191 edited by Craig Mellis (craig.mellis@sydney.edu.au) AboutSectionsPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat In December 2020, a World Health Organization guideline development group expert meeting identified 24 research questions (framed as PICO: population, intervention, comparator and outcomes) for global health-care interventions for preterm and low birthweight (LBW) infants. Two researchers looked for systematic reviews in the last 3 years which addressed these research questions.1 The researchers found nine systematic reviews. Eight reviews of 121 studies and 25 465 preterm or LBW infants published in the last 36 months ‘fully’ addressed 8 of the 24 research questions (continuous positive airways pressure (CPAP) any, CPAP early, CPAP prophylactic), donor human milk, emollients, formula milk, multicomponent fortifier and probiotics. All eight of these systematic reviews received a ‘high’ AMSTAR quality rating. However, one systematic review (mother's own milk) found no trials. There was no systematic review in the last 3 years of 15 research questions (early initiation, responsive feeding, advancement, exclusive breastfeeding duration, kangaroo mother care, iron, zinc, vitamin D, vitamin A, calcium and phosphorus, multiple micronutrients, CPAP pressure source, methyl xanthines, family involvement and family support). The authors concluded that while they found high-quality systematic reviews of almost a third of their research, they found gaps in thermal care, feeding and family support interventions. Reference 1Edmond K, Strobel N. Evidence for global health care interventions for preterm or low birth weight infants: An overview of systematic reviews. Pediatrics 2022; 150(S1): e2022057092C. Reviewer: David Isaacs, david.isaacs@health.nsw.gov.au, Children's Hospital at Westmead, Sydney, New South Wales, Australia. Volume58, Issue9September 2022Pages 1702-1703 ReferencesRelatedInformation