Shu-Ling Chong, Tore Laerdal, Jeremy Cordero, Munawar Khursheed, Ali Haedar, Wenwei Cai, Gayathri Devi Nadarajan, Andrew Fu Wah Ho, Pin Pin Pek, Steffi Kang Ting Chan, Marcus Eng Hock Ong
Perinatal and neonatal deaths account for an increasing proportion of deaths under 5 years old. We present essential elements to reduce perinatal mortality, barriers to establishing these elements, and the role of developing emergency care systems. Essential elements for prompt perinatal and postnatal care are categorised based on care-seeking behaviours, access to a primary care facility and for the severely ill, access to advanced neonatal care. The role of emergency care systems is key to overcoming obstacles currently faced in countries with high perinatal and neonatal mortality rates. © 2018 Elsevier B.V.
Department of Emergency Medicine, KK Women's and Children's Hospital, 100, Bukit Timah Road, 229899, Singapore; Duke-NUS Medical School, 8, College Road, 169857, Singapore; Laerdal Medical Corporation, Laerdal Global Health, Tanke Svilandsgate 30, P.O. Box 377, Stavanger, N-4002, Norway; Ospital ng Makati, Pembo Makati Philippines, Sampaguita St, Metro Manila, Makati, 1218, Philippines; Aga Khan University, Stadium Road, Karachi, 74800, Pakistan; University of Brawijaya, Saiful Anwar General Hospital, Jl. Jaksa Agung Suprapto 2, Malang, 65111, Indonesia; Department of Emergency Medicine, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, 310014, Zhejiang, China; Department of Emergency Medicine, Singapore General Hospital, Outram Road, 169608, Singapore; Department of Anaesthesiology, Singapore General Hospital, Outram Road, 169608, Singapore
