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"Premature children suffering consequences of their early birth do not grow out of them, and new difficulties may appear as they mature. The sum of negative influences from the time in the Neonatal Intensive Care Unit, eventual problems with interaction, and later a defective or delayed development, can cause continuous problems for premature children. These children can however be protected if we initiate the necessary support. An early effort can prevent the typical consequences of pre-term birth, so that the children will have quite a normal childhood. If the minor difficulties are identified, it is possible to take care of them before they develop into huge problems, and that is just the purpose of this book: to give parents, and professionals close to the child, a possibility to prevent, repair, and rebuild. Born Too Early does not deal with the more usual handicaps but exclusively with the less visible consequences of pre-term birth, which are rarely diagnosed. The book describes the causes of these problems and also details possibilities for prevention, support and treatment as well as the need for public support arrangement."--Provided by publisher.
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Deaths. --- Morbidity. --- Premature infants.
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This dissertation by Erik Wejryd examines the effects of probiotics and prebiotics on extremely preterm infants, particularly those with extremely low birth weight. The research focuses on the potential benefits of the probiotic bacterium L. reuteri DSM 17938 in improving feeding tolerance, growth, and neurological outcomes while reducing the incidence of necrotising enterocolitis (NEC) and sepsis. The study involves a double-blind trial with 134 infants, investigating the colonisation of L. reuteri and the impact of human milk oligosaccharides on NEC and growth. Results indicate that while L. reuteri did not significantly affect feeding intolerance, it was associated with improved cranial growth and language development. The study aims to guide future strategies for feeding and probiotic supplementation in extremely preterm infants.
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The recommendations in this guideline are intended to inform development of national and subnational health policies, clinical protocols and programmatic guides. The target audience includes national and subnational public health policy-makers, implementers and managers of maternal, newborn and child health programmes, health-care facility managers, supervisors/instructors for in-service training, health workers (including midwives, auxiliary nurse-midwives, nurses, paediatricians, neonatologists, general medical practitioners and community health workers), nongovernmental organizations, professional societies involved in the planning and management of maternal, newborn and child health services, academic staff involved in research and in the pre-service education and training of health workers, and those involved in the education of parents.
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