Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age. These babies are known as preemies or premmies.

Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes or the leaking of fluid from the vagina.

Preterm birth complications are the leading cause of death among children under 5 years of age, responsible for approximately 1 million deaths in 2015, according to the World Health Organisation.

The officials say they are worried about the rate of deaths among preterm babies.

They have therefore stepped up education and community engagement, to meet a target of 60 percent reduction in under-five deaths.

This was revealed at an event to mark this year’s World Prematurity Day which falls on 17th November every year.

This year’s celebration, which was under the theme, “Let them thrive: Respectful care for the smallest” was observed at the Ashanti Regional Directorate of the Ghana Health Service (GHS) in Kumasi.

128,000 babies are delivered too soon each year in Ghana. About 8, 260 children under age five also die due to direct preterm complications.

In the Ashanti region alone, 13,000 babies were prematurely recorded in 2015, 12,700 in 2016, and over 11,000 newborns have also been delivered too soon in 2017.

The statistics according to health workers, is staggering, since preterm represents a global public health burden, especially in developing countries.

Ashanti regional newborn coordinator, Dr. Rita Fosu Yeboah, called for community support to embrace the Kangaroo Mother Care (KMC), exclusive breastfeeding and hand-washing as ways of preventing preterm deaths.

“It is our prayer that as we celebrate this day, and as we create this awareness, we will have the support for our communities to establish more Kangaroo Mother Care facilities for our hospitals as well.”

She said efforts are being made to educate community members on the Kangaroo Mother Care (KCM).

Ashanti Regional Director of the Ghana Health Service, Dr. Emmanuel K. Tenkorang, advised nursing mothers to focus more on the nutrition of their babies.

He said pre-natal care, family planning and nutrition, were key preventable measures for newborn deaths.

He also called on the media to intensify its advocacy to help the Ghana Health Service prevent newborn deaths in the country.

A team of newborn champions also embarked on a float as part of the celebration to educate residents in the Kumasi metropolis on ways to prevent newborn deaths.

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By: Hafiz Tijani/citifmonline.com/Ghana

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The machine, at the Royal Hallamshire Hospital, is one of only two purpose-built neonatal MRI scanners in the world.

At present, ultrasound is normally used to scan the brains of newborns.

Prof Paul Griffiths, of the University of Sheffield, said MRI was better at showing the structures of the brain and abnormalities more clearly.

Clearer images

So far about 40 babies have been imaged in the MRI scanner, which was built by GE Healthcare with funding by the Wellcome Trust.

One of them, Alice-Rose, was born at 24 weeks and had two bleeds in the brain.

Her parents, Shaun and Rachael Westbrook, said the MRI scan was very helpful.

Shaun told me: “It’s a much crisper image and a lot easier to understand than the ultrasound.”

Rachael added: “It’s been a rollercoaster since Alice-Rose was born on 6 November: not everything was fully formed, and she still weighs only 2lb 13oz (1.28kg).

“The MRI was reassuring as it meant you got a better look at her brain.”

Ultrasound of the brain is possible in newborn babies only because the bones in their skull are not yet fused.

Ultrasound v MRI

The sound waves can travel through the two fontanelles – the soft spots between the bones.

Prof Griffiths said: “Ultrasound is cheap, portable and convenient, but the position of the fontanelles means there are some parts of the brain which cannot be viewed.

“MRI is able to show all of the brain and the surrounding anatomy, making the images easier to explain to parents.

“From a diagnostic point, the big advantage is that MRI is able to show a wider range of brain abnormalities, in particular those which result from a lack of oxygen or blood supply.”

MRI scans are rarely performed on severely premature babies because the risks involved in transferring and handling a sick infant can outweigh the benefits.

Prof Griffiths said: “MRI machines are huge, heavy objects which are sited in the basement or ground floor of hospitals, whereas maternity units are usually higher up, or in a completely different building, so it can mean a complicated journey to get a baby to and from the scanner.”

The compact baby MRI machine at the Royal Hallamshire is not much bigger than a washing machine and just metres away from the neonatal intensive care unit, meaning that specialist staff are on hand in case of problems.

The concept for a dedicated neonatal scanner was originally developed more than a decade ago by Prof Griffiths and Prof Martin Paley, of the University of Sheffield.

Two prototype 3 Tesla neonatal MRIs were eventually built – the other is in Boston Children’s Hospital in Massachusetts – although it is no longer in use.

Neither machine has regulatory approval for clinical use, and both remain purely for research.

Prof Griffiths said the next step would be to do a trial in premature babies to show definitively that MRI produces a better diagnosis and whether it altered the clinical management of children.

It is not known how much a neonatal MRI machine would cost, should the system eventually get commercialised, but full-size scanners are typically priced at several hundred thousand pounds.

Cincinnati Children’s Hospital has a 1.5 Tesla neonatal MRI scanner that was adapted from adult orthopaedic use.

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Source: BBC

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