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Table 3 Tools, technologies, and innovations required for the care of preterm babies.

From: Born Too Soon: Care for the preterm baby

Priority packages and interventions Current technology/Tools Technological innovations required
All babies   
Essential newborn care and extra care forpreterm babies
• Thermal care (drying, warming, skin-to-skin
and delayed bathing)
• Early initiation, exclusive breastfeeding
• Hygienic cord and skin care
• Protocols for care, training materials and job aids
• Materials for counselling, health education and health promotion
• Weighing scales
• Cord clamp and scissors, clean birth kit if appropriate
• Vitamin K for LBW babies
• Generic communications and counselling toolkit for local adaptation
• Generic, modular training kit for adaptation, novel methods e.g. cell phone prompts
• Birth kits for frontline workers
• Chlorhexidine preparations for application to the umbilical cord
• Simplified approaches to identifying preterm babies such as footsize
Neonatal resuscitation for babies who do not
breathe at birth
• Materials for training and job aids
• Training manikins
• Newborn resuscitation devices (bag-and-mask)
• Suction devices
• Resuscitation stations with overhead heater
• Clock with large face and second hand
• Wide scale novel logistics systems to increase availability of devices for basic resuscitation and training manikins
• Additional innovation for resuscitation devices (e.g. upright bag-and-mask, adaptable, lower cost resuscitation stations)
Preterm babies   
Kangaroo mother care for small babies(birthweight <2,000 g) • Cloth or wrap for KMC
• Baby Hats
Generic communications and counselling toolkit for local adaptation, Innovation to address cultural, professional barriers
Generic, modular training kit and job aids for local adaptation
Care of preterm babies with complications including:
• Extra support for feeding preterm and small babies
• Case management of babies with signs of infection
• Safe oxygen management and supportive care for RDS
• Case management of babies with significant jaundice
• Managing seizures
• Nasogastric tubes, feeding cups, breast milkpumps
• Blood sugar testing sticks
• IV fluids including glucose and more accurate giving sets
• Syringe drivers
• Injection antibiotics, 1 cc syringes/27G needles, preloaded syringes
• Oxygen supply/concentrators
• Nasal prongs, headboxes, other O2 delivery systems
• Pulse oximeters to assess blood oxygen levels with reusable cleanable neonatal probes.
• Bilirubinometers (table top and transcutaneous)
• Phototherapy lamps and eye shades
• Exchange transfusion kits
• Hot cots, overhead heaters
Lower-cost and more robust versions of:
• Blood sugar testing for babies on low volume samples, heel pricks
• Oxygen condensers, including portable options
• Pulse oximeters and robust probes, including with alternative power options
• Syringe drivers able to take a range of syringes
• Bilirubin testing devices including lower cost transcutaneous devices
• Haemoglobin and blood grouping, Rhesus Point of Care
• Point of care for C-reactive protein/procalcitonin
• Apnoea alarm
• Phototherapy devices such as portable "bilibed" to provide both phototherapy treatment and heat
Neonatal intensive care • Continuous Positive Air Pressure (CPAP) devices with standardised safety features • Lower-cost robust CPAP equipment with standardised settings
• Neonatal intensive care context specific "kits", e.g., district hospital with ongoing support for quality use and for equipment maintenance
• Surfactant as more stable, lower cost preparations
  1. Source: Born Too Soon, Chapter 5 [113]. Note this table refers to care after the baby is born so does not include other essential tools and technologies such as antenatal steroids, or critical commodities for the woman Data sources: (East Meets West; WHO et al., 2003; Lawn et al., 2006; 2009a; PMNCH, 2011) [40, 127130].