Bibliographic information

GuidelineWHO recommendations for care of the preterm or low-birth-weight infant.
Year of Publication2022
Issuing InstitutionWorld Health Organization

Recommendation

New

Families of preterm or low-birth-weight infants should be given extra support to care for their infants, starting in health-care facilities from birth and continued during follow-up postdischarge. The support may include education, counselling and discharge preparation from health workers, and peer support

Recommended in favor

Conditional

Notes and Remarks

Remarks

  • The recommendation is conditional on shared decision-making with parents; this includes informing parents about the benefits and risks and the need for further research.
  • The GDG noted that education and counselling also had important effects in improving parent-to-infant interaction, improving breastfeeding and decreasing parental anxiety, stress and depression, though these were not critical outcomes.
  • The GDG noted that there were limited data on frequency, duration and intensity of education and counselling.
  • The GDG noted that discharge preparation also had important effects in improving parent-to-infant interaction, improving breastfeeding and decreasing parental anxiety, stress and depression, though these were not critical outcomes.
  • The GDG noted that there were limited data on the frequency, duration and intensity of discharge preparation.
  • Preterm and LBW infants often require care from multiple health workers so the GDG also noted that careful coordination of care is needed post-discharge.
  • The GDG made a conditional recommendation on peer support, although there were no data on critical outcomes; this was because of the effects on maternal anxiety and the importance of the intervention.
  • The GDG noted that there were limited data on frequency, duration and intensity of peer support.
  • The GDG decided not to make a recommendation on digital information systems as there was no evidence of benefits or harms on any critical outcome.