Although more complex assessments are less feasible in LMICs, the simpler but more feasible assessments were found to be the least accurate, with wider margins of error. Overall, these findings show that newborn assessments are currently not very accurate for identifying preterm babies.
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While more complex assessments like the Dubowitz score had better precision than simpler versions, they are more challenging to train and implement at large scale in low-resource settings. Therefore, there is an urgent need to develop simpler and more accurate methods for estimating gestational age that are feasible to implement in LMICs.
Improving the accuracy of gestational age determination is a critical priority for newborn health and an emphasis of the Every Newborn Action Plan. Priorities for improving gestational age measurement in LMICs include:. The findings from this review are a call to action to the global public health community to augment efforts to improve the measurement of gestational age, in order to improve the survival and potential of preterm babies worldwide.
You must be logged in to post a comment. Anne CC Lee Newborn assessment for estimating gestational age When the dating of pregnancy is unknown, the newborn can be examined after birth for signs of development and maturity to estimate its gestational age. How accurate are newborn assessments for determining gestational age?
What can be done to improve gestational age measurement in LMICs?
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Priorities for improving gestational age measurement in LMICs include: Improving the coverage and accuracy of existing methods of pregnancy dating in LMICs Increasing coverage of ultrasound dating, preferably early in pregnancy Improving the accuracy of ultrasound assessment in later pregnancy Developing aids to improve the availability and accuracy of LMP recall e. Pediatrics ; published online: National, regional, and worldwide estimates of preterm birth rates in the year with time trends since for selected countries: Lancet London, England ; Levels and Trends in Child Mortality: Global, regional, and national causes of child mortality: Lancet London, England J Perinat Med ; 44 Comparison of pregnancy dating by last menstrual period, ultrasound scanning, and their combination.
But once I arrived, qlthough I loved it, I couldn't wait until the Christmas holidays. At home in December, I was looking forward to going back so much that the countdown began again! Now I'm left with only seven weeks left in this wonderful country, but I'm caught in a dilemma. On one hand, I can't wait for summer — no more work, lots of sun, and a holiday with my best friends. However, on the other hand, I don't want my time in France to come to an end! I have realised that I spend a lot of time looking ahead to what's coming next in my life.
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I can admit that this may sometimes stop me from living in the present. If you're always more excited about the future than the present, it is almost impossible to properly enjoy or appreciate your every day life.
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Looking back on my time in France, I wish it had gone even slower than it has. I do feel like I've made the most of my six months here, but I did spend a lot of time counting down. Whether it was wishing the weekend would come faster when I was having a boring day at school, wanting January to disappear because I was too cold, or wishing a few weeks away because I wanted my boyfriend to come and visit me sooner, I spent a lot of time looking at the future, not the present.
Now I'm actually dreading going back to university: I won't be getting paid anymore, I won't have as much free time, and I'll have to start thinking about essays and presentations again. I wish I could slow down the time I have left here, but as I know that is impossible, I have instead resolved to make the most of the time I have left here and enjoy every day. Whether I wish for the time to go faster or slower, nothing will change, so I might as well stop worrying about how long I have left and enjoy it!
That way, when I look back on my year abroad I will never feel like I wasted time by counting down until the summer. I think that we should live our life every day thinking as it's the last day of our life!
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From the Last day I mean that every day should be colorful and full of life! Well if you'll read Helen Keller's ''Three Days To See" you will come to know that how to live life and how important it is!
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There are many who can't live their lives as we can live like blind, dumb, or deaf people or people with serious problems or limbs disorders!