The concept of the 'at-risk newborns' (2)

14 January, 2023

Dear Indira Narayanan,

Thank you for notifying us of this paper: https://www.ghspjournal.org/content/early/2023/01/11/GHSP-D-22-00099

In the introduction to the paper, you say: "In several LMICs, notably in sub-Saharan Africa, mothers and their well babies are provided care in postnatal wards only by midwives whose primary expertise and focus is maternal care. Training in the care of newborns is minimal, and newborn care does not always extend to periodic monitoring. Newborns in the postnatal wards are also not routinely examined by the neonatal unit physicians because regular physician/pediatrician rounds do not take place in such postnatal wards, and doctors assess a baby only when referred by the midwife"

It has been a long time since I was a paediatrics trainee in the UK, but all babies were checked by the resident medical officer and postnatal wards included nursing staff trained in newborn care. I would be interested to hear more about the care of newborns on postnatal wards in LMICs.

Best wishes, Neil

Dr Neil Pakenham-Walsh, HIFA Coordinator

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