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Comprehensive prevention strategies for retinopathy of prematurity: a literature review Cover

Comprehensive prevention strategies for retinopathy of prematurity: a literature review

By:
Zi Zeng  
Open Access
|Jun 2023

Figures & Tables

The summary table of comprehensive interventions to prevent ROP_

Intervention measuresThe specific content of measures
Reduce early transfusionEarly transfusion should be minimized, and perfusion strategies such as dopamine and crystalloid solution expansion should be adopted at an early stage
Platelet transfusion therapyFor premature infants with low platelet counts, platelet transfusion therapy can be considered
Antenatal corticosteroids usePrenatal corticosteroids may be used at <35 weeks of pregnancy when adequate obstetric care is available
Delayed clamping of the cordDelayed clamping of the umbilical cord for 30–60 s or even longer after birth indirectly reduces the incidence of retinopathy of prematurity and is also safe for both mother and her baby
Temperature managementControl the body temperature between 36.5°C and 37.2°C, wrap the newborn with plastic wrap, skin-to-skin care, use the heated mattress, appropriately raise the temperature of the delivery room, dry immediately after birth, and put on a hat to warm the baby’s head
Infection managementStrict hand hygiene (hand disinfection before and after contact with newborns), reasonable and standard use of antibiotics and appointed nurses can be responsible for infection management
BreastfeedingContinue breastfeeding as long as possible, it is beneficial for babies’ growth and can decrease the risk of retinopathy of prematurity for preterm infants
Oxygen managementAccording to different gestational ages, the SpO2 target can be adjusted appropriately within the rational range, and the stability of SpO2 should be maintained
Pain managementTo reduce unnecessary pain, and use some intervention methods such as swaddling, oral sucrose or glucose, non-nutritive sucking, kangaroo mother care, sensorial saturation, and music therapy for pain relief
Supportive careMaintain the newborn stable and comfortable, such as kangaroo mother care, maintain the comfortable posture for preterm infants, to give the baby sense of safety
DOI: https://doi.org/10.2478/fon-2023-0018 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 175 - 181
Submitted on: Sep 3, 2022
Accepted on: Oct 31, 2022
Published on: Jun 22, 2023
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2023 Zi Zeng, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.