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(单词翻译:双击或拖选)
Emergency Birth Training Curbs1 Infant Mortality
Responding immediately when newborns fail to breathe in the critical moments after birth could dramatically cut the number of infant deaths worldwide. That's the focus of a new training program for maternal3 healthcare workers.
An estimated one million newborns die each year of birth asphyxia, the failure to start or sustain breathing in the first moments after delivery.
If the newborn still does not begin breathing on their own, birth attendants are taught how to place a face mask on the baby's face to initiate4 respiration5.
Jeffrey Perlman, professor of pediatrics at Weill-Cornell Medical College in New York, says the protocol6, carried out during the first minute of life, can reduce the newborn mortality rate by 50 percent.
Perlman says it also reduces the number of deaths from stillbirth, which is often simply a case of birth asphyxia.
"When a baby is born not breathing, it is often assumed that that is a stillbirth but that may not be the case," he says. "It may just be that the baby's not breathing but has a low heart rate. And we know that if you can effectively breathe for the baby, and it doesn't take too many assisted breaths, they will start breathing on their own."
Researchers conducting a 2009 pilot project with Helping7 Babies Breathe in Tanzania taught nurse-midwives, doctors and other medical personnel what immediate2 steps they should take if a baby is born not breathing, including how to use bulb suction and bag-mask ventilation devices.
Data collected at four hospitals, for three months before and three months after initiation8 of the program, showed the death rate dropped from 13 deaths per 1,000 births to just over six deaths per 1,000 deliveries.
Perlman is excited by the results. "If we can sustain that reduction, it will represent for the first time a reversal of asphyxia-related birth mortality."
Perlman says the simple strategies to initiate breathing during the first minute of delivery - which he calls "the golden minute" - could go a long way toward helping developing countries meet the United Nations' Millennium9 Development goal of slashing10 infant mortality by two-thirds by 2015.
"It's beautiful to actually see the nurse midwives and others taking possession and understanding why it's so important to initiate the breathing within the Golden Minute. They've seen tangible11 results."
1 curbs | |
v.限制,克制,抑制( curb的第三人称单数 ) | |
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2 immediate | |
adj.立即的;直接的,最接近的;紧靠的 | |
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3 maternal | |
adj.母亲的,母亲般的,母系的,母方的 | |
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4 initiate | |
vt.开始,创始,发动;启蒙,使入门;引入 | |
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5 respiration | |
n.呼吸作用;一次呼吸;植物光合作用 | |
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6 protocol | |
n.议定书,草约,会谈记录,外交礼节 | |
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7 helping | |
n.食物的一份&adj.帮助人的,辅助的 | |
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8 initiation | |
n.开始 | |
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9 millennium | |
n.一千年,千禧年;太平盛世 | |
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10 slashing | |
adj.尖锐的;苛刻的;鲜明的;乱砍的v.挥砍( slash的现在分词 );鞭打;割破;削减 | |
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11 tangible | |
adj.有形的,可触摸的,确凿的,实际的 | |
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