Neonatal Survival Against LMIC Odds – Case Notes of 10 Near-Death Neonates Rescued by a New Initiative
<p>Respiratory distress is a leading cause of neonatal mortality in low- and middle-income countries (LMICs), where access to mechanical ventilation and conventional CPAP devices remains limited, including at tertiary care levels in special care baby units (SCBUs). In response to this gap, the respi...
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| Autores principales: | , , |
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| Formato: | Capítulo de libro |
| Lenguaje: | inglés |
| Publicado: |
IntechOpen
2025
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| Materias: | |
| Acceso en línea: | https://www.intechopen.com/chapters/1236627 |
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| Sumario: | <p>Respiratory distress is a leading cause of neonatal mortality in low- and middle-income countries (LMICs), where access to mechanical ventilation and conventional CPAP devices remains limited, including at tertiary care levels in special care baby units (SCBUs). In response to this gap, the respiratory support substation (RespSS) initiative, a semi-detached section of the SCBU having independent assemblies of locally innovated respiratory devices, such as low-cost bubble CPAP machines, was adopted as a vital tool in the management of neonatal respiratory conditions at the University of Benin Teaching Hospital (UBTH), Nigeria. This chapter presents 10 compelling case stories of neonates managed with the RespSS during the first 12 months of use, highlighting its effectiveness in extremely low birth weight preterm neonates, infants with congenital anomalies, perinatal birth asphyxia, and severe respiratory distress syndromes. These stories not only demonstrate the technical success of the RespSS but also reflect powerful human narratives – parents overcoming infertility, survival against well-known clinical odds at UBTH, and the use of the RespSS where all other options had failed. The chapter discusses a selection of criteria, therapeutic protocols, and outcomes while exploring key themes such as innovation in low-resource settings, caregiver resilience, and the transformative role of locally adapted technologies in neonatal care. The findings underscore the urgent need to scale up RespSS-type interventions across similar healthcare systems to reduce preventable neonatal deaths and improve long-term outcomes.</p> |
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| ISBN: | 978-1-83634-347-9 |
| DOI: | 10.5772/intechopen.1013087 |