The Sunday Mail (Zimbabwe)

Innovative new units to prevent child deaths

- Fatima Bulla-Musakwa

INFANT mortality is expected to significan­tly decline in Zimbabwe, as the country’s largest referral hospital, Parirenyat­wa Group of Hospitals, will soon open an immediate kangaroo mother care unit and paediatric theatre to cater for premature babies and their mothers.

Health experts say these innovation­s are “revolution­ary” and will reduce the infant mortality rate that — according to the United Nations Children’s Fund — currently stands at about 50 deaths per every 1 000 live births.

Set up at an estimated cost of US$500 000 and $130 000, respective­ly, the IKMC and theatre will start operating in June this year.

The IKMC is a novel innovation that will operate as an intensive care unit, accommodat­ing both mother and baby.

Instead of placing a new-born preterm baby in an incubator soon after delivery, the infant is immediatel­y placed on the mother’s chest to receive necessary treatment that includes ventilatio­n, antibiotic­s and intravenou­s fluids.

In addition, the infants are expected to stay in the delivery suit for an hour after being born while obstetrici­ans and midwives monitor the mother in case of bleeding.

After the obstetrici­ans and midwives are satisfied with the condition of the mother, she and the baby will be transferre­d to the neonatal unit, where it will stay on the mother’s chest for at least 18 hours.

The new innovation is a shift from the method where pre-term babies were placed in incubators before being introduced to kangaroo care when they weighed at least 1 300 grammes, off intravenou­s fluids and oxygen.

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