Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [[maximum depth reached]] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/strengthening-care-of-the-newborn-4674631/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/strengthening-care-of-the-newborn-4674631/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [[maximum depth reached]] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/strengthening-care-of-the-newborn-4674631/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/strengthening-care-of-the-newborn-4674631/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]Code Contextif (Configure::read('debug')) {
trigger_error($message, E_USER_WARNING);
} else {
$response = object(Cake\Http\Response) { 'status' => (int) 200, 'contentType' => 'text/html', 'headers' => [ 'Content-Type' => [ [maximum depth reached] ] ], 'file' => null, 'fileRange' => [], 'cookies' => object(Cake\Http\Cookie\CookieCollection) {}, 'cacheDirectives' => [], 'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f7c1da07fa3-trace').style.display = (document.getElementById('cakeErr67f7c1da07fa3-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67f7c1da07fa3-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f7c1da07fa3-code').style.display = (document.getElementById('cakeErr67f7c1da07fa3-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f7c1da07fa3-context').style.display = (document.getElementById('cakeErr67f7c1da07fa3-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67f7c1da07fa3-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr67f7c1da07fa3-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 26593, 'title' => 'Strengthening care of the newborn', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu </div> <p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. </p> <p align="justify"> Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p>', 'credit_writer' => 'The Hindu, 24 November, 2014, http://www.thehindu.com/opinion/editorial/strengthening-care-of-the-newborn/article6627432.ece?homepage=true', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'strengthening-care-of-the-newborn-4674631', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 4674631, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 26593, 'metaTitle' => 'LATEST NEWS UPDATES | Strengthening care of the newborn', 'metaKeywords' => 'Child Mortality,healthcare,neonatal mortality rate (NMR),Child Health,Health', 'metaDesc' => ' -The Hindu Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13...', 'disp' => '<div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 26593, 'title' => 'Strengthening care of the newborn', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu </div> <p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. </p> <p align="justify"> Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. 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Of the 13...' $disp = '<div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/strengthening-care-of-the-newborn-4674631.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Strengthening care of the newborn | Im4change.org</title> <meta name="description" content=" -The Hindu Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Strengthening care of the newborn</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $maxBufferLength = (int) 8192 $file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php' $line = (int) 853 $message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. </p> <p align="justify"> Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. 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Of the 13...', 'disp' => '<div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 26593, 'title' => 'Strengthening care of the newborn', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu </div> <p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. </p> <p align="justify"> Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. 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Of the 13...' $disp = '<div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/strengthening-care-of-the-newborn-4674631.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Strengthening care of the newborn | Im4change.org</title> <meta name="description" content=" -The Hindu Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Strengthening care of the newborn</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $reasonPhrase = 'OK'header - [internal], line ?? Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. </p> <p align="justify"> Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. 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Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. </p> <p align="justify"> Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. 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Of the 13...' $disp = '<div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/strengthening-care-of-the-newborn-4674631.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Strengthening care of the newborn | Im4change.org</title> <meta name="description" content=" -The Hindu Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Strengthening care of the newborn</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu</div><p align="justify"> Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $cookies = [] $values = [ (int) 0 => 'text/html; charset=UTF-8' ] $name = 'Content-Type' $first = true $value = 'text/html; charset=UTF-8'header - [internal], line ?? Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. </p> <p align="justify"> Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. 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Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. 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There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world.</p><p align="justify">Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. 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Strengthening care of the newborn |
-The Hindu Tamil Nadu has come to realise in a most tragic manner the high mortality risk faced by preterm babies (those born before 37 completed weeks of gestation), and its unfinished task of saving these lives. Of the 13 neonates who died recently in district hospitals in Dharmapuri and Salem, five were preterm. Both preterm and low birth weight babies have died of the usual causes, such as respiratory distress syndrome, intrauterine growth restriction, birth asphyxia and sepsis. Incidentally, with 27.3 deaths per 1,000 live births, the State has achieved the WHO's Millennium Development Goal 4 of reducing the number of deaths in children younger than five years, well before the December 2015 deadline. It can further reduce the number of under-five deaths by adopting a two-pronged approach of bringing down the number of babies born preterm and providing crucial care to such babies during the most critical phase. There is a compulsion to adopt both measures simultaneously as birth complications in preterm babies are among the leading causes of neonatal (0-27 days) deaths. Of the estimated 15 million babies born preterm annually across the world, over 3.6 million are in India; of them, over 3,00,000 die each year. Globally, one million preterm babies die every year. According to an October 2014 study published in The Lancet, during 2013, for the first time, preterm birth complications became the leading cause of death in children under five, across the world. Though there are several reasons for preterm delivery, the common, preventable causes are early induction of labour, teenage pregnancy, multiple pregnancies, diabetes and high blood pressure. In a commendable move in July 2013, the Ministry of Health and Family Welfare authorised auxiliary nurse midwives to administer a pre-referral dose of antenatal corticosteroids to women and injectable antibiotics to babies for suspected sepsis. Since immaturity of the lungs is one of the main reasons for preterm baby deaths, the steroid administered before delivery can vastly improve lung maturity. Similarly, the Ministry's focus on the well-proven and cost-effective kangaroo mother care in health facilities and at home after discharge can greatly improve survival rates of preterm and low birth weight babies. These measures can potentially save many preterm babies (32 to less than 37 weeks of gestation) even in the absence of expensive incubators and ventilators. There is no reason why Tamil Nadu cannot set these as standard health practices at all its public health centres and hospitals. The lives of at least some of the 13 babies could probably have been saved had the State already adopted them. These deaths should prompt the government to act swiftly. |