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“袋鼠式护理”:拯救与保护早产儿

kira86 于2009-05-25发布 l 已有人浏览
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Saving Preterm Babies With an Idea From Nature This is the VOA Special English Development Report.Some mothers
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Saving Preterm Babies With an Idea From Nature




This is the VOA Special English Development Report.

Some mothers in Senegal are learning a new way to save the lives of babies born too soon. The idea is not really new. It borrows from the way mother kangaroos carry their young in front in a pouch. The joey -- what Australians call a baby kangaroo -- stays in this built-in baby carrier until it can survive independently.

袋鼠式护理(kangaroo mother care,KMC)又名皮肤接触护理(skin—to—skin care,SSC),是20世纪80年代初发展起来的主要针对早期新生儿的一种护理方式,其定义为:住院或较早出院的低出生体重儿在出生早期即开始同母亲进行一段时间的皮肤接触,并将此种方式坚持到校正胎龄为40周时。WHO 6493(2Oo7)8A一1984—04 总结2 KMC包括母婴之间早期、持续地皮肤接触;纯母乳喂养(理想情况);住院时开始,可持续至家中;新生儿可早期出院;母亲在家中需要足够的支持和随访;作为一种温柔、有效的方法,可以避免早产儿在繁忙病房中受到的日常不良刺激。1 KMC的产生背景护理研究2007年8月第21卷第8期上旬版(总第222期) ·1985· 1978年哥伦比亚儿科医生Edgar Rey考虑到因为保温箱数量严重不足而导致低体重新生儿的死亡率增高,开始采用KMC。

Kangaroo mother care is also known as the skin-to-skin method for premature babies. The direct contact with the mother keeps the baby warm. It also lets the baby breastfeed at any time.

A movement to spread the use of the kangaroo method for preterm babies grew out of Bogota, Colombia, in the nineteen seventies.

Now, a doctor in Senegal who specializes in newborn care is leading a program financed by the Ministry of Health and UNICEF.

Every year, seven thousand babies are born at the health center where Ousmane Ndiaye works in Guediaway, outside Dakar. One in five is underweight. But Senegal has few incubators in which to keep premature babies warm.

In west and central Africa, one newborn in twenty dies. A major reason is prematurity -- the death rates are among the highest in the world.

Doctor Ndiaye says babies who weigh less than two kilos get special attention from midwives who assist with the births. They teach the mother how to keep the baby wrapped to her chest. The health center has a Kangaroo Clinic, a special area for teaching this method.

The mother's body heat is not the only thing that helps the baby. Her heartbeat helps control the baby's breathing rate.  

Doctor Ndiaye says there are plans to expand the program throughout Senegal. But he believes the best way to get more people to use the kangaroo method is for mothers like Koumba Gueye to tell others about it.

Koumba Gueye recently had her third child, a boy. He arrived six weeks early. At first, she did not like carrying him in front. People looked at her strangely. She was not carrying him on her back, the traditional way. But after a few weeks, she says, the kangaroo method saved her baby's life.

And unlike a machine, the skin-to-skin contact provides two kinds of warmth -- physical and emotional.

And that's the VOA Special English Development Report, written by Jerilyn Watson with reporting by Fid Thompson in Dakar. The World Health Organization has a guide to kangaroo mother care. For a link, go to en8848.com. I'm Steve Ember.

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