{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:10:02Z","timestamp":1756289402111,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,9]]},"abstract":"<jats:p>Preterm birth is an important cause of neonatal morbidity and mortality globally. Uganda has one of the highest rates of preterm birth in East Africa but few resources to care for these infants. This case highlights the clinical course of an extremely premature infant born at 26\u2005weeks gestation to a nulliparous 24-year-old woman. Her mother was involved in her care and taught the principles of kangaroo mother care. After initial problems establishing feeds she progressed well and was discharged in the fifth week of life. The case describes some of the low technology conservative and medical measures which can be used to care for neonates, such as antenatal steroids and kangaroo care. The use of antibiotics and aminophylline are also discussed. The approach to the common challenges faced by premature infants such as respiratory disease, sepsis and necrotising enterocolitis in a resource-poor environment are discussed.<\/jats:p>","DOI":"10.1136\/bcr-2013-200949","type":"journal-article","created":{"date-parts":[[2014,6,4]],"date-time":"2014-06-04T07:32:56Z","timestamp":1401867176000},"page":"bcr2013200949","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Miracle baby: managing extremely preterm birth in rural Uganda"],"prefix":"10.1136","volume":"2014","author":[{"given":"Hannah Katherine","family":"Mitchell","sequence":"first","affiliation":[{"name":"Department of Medical School, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhianne","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Medical School, University of Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hogan","sequence":"additional","affiliation":[{"name":"Department of Medical School, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolin","family":"Bresges","sequence":"additional","affiliation":[{"name":"Department of Medical School, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,6,4]]},"reference":[{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)82056-6"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7467.675"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.3","doi-asserted-by":"crossref","unstructured":"Bulletin of the World Health Organization. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. 2010. http:\/\/www.who.int\/bulletin\/volumes\/88\/1\/08\u2013062554\/en\/ (accessed 21 Jul 2013).","DOI":"10.2471\/BLT.08.062554"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0019674"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2010.02557.x"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.6","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyq029"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00400-1"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.8","doi-asserted-by":"crossref","unstructured":"Roberts D Dalziel S . Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev 2006;(3):CD004454.","DOI":"10.1002\/14651858.CD004454.pub2"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.05.006"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.10","doi-asserted-by":"crossref","unstructured":"Henderson-Smart DJ De Paoli AG . Methylxanthine treatment for apnoea in preterm infants. Cochrane Database Syst Rev 2010;(12):CD000140.","DOI":"10.1002\/14651858.CD000140.pub2"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2003.11.008"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.12","doi-asserted-by":"crossref","unstructured":"Bury RG Tudehope D . Enteral antibiotics for preventing necrotizing enterocolitis in low birthweight or preterm infants. Cochrane Database Syst Rev 2001;(1):CD000405.","DOI":"10.1002\/14651858.CD000405"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.13","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyq030"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2010.02603.x"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.11.049"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.16","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69525-1"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.17","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyq031"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.18","doi-asserted-by":"crossref","unstructured":"Conde-Agudelo A Belizan JM Diaz-Rossello J . Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev 2011;(3):CD002771.","DOI":"10.1002\/14651858.CD002771.pub2"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.19","first-page":"23","article-title":"Neonatal hypothermia on admission to a special care unit in Dar-es-Salaam, Tanzania: a cause for concern","volume":"49","author":"Manji","year":"2003","journal-title":"Cent Afr J Med"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.20","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmh098"},{"key":"2025082702561085000_2014.jun04_1.bcr2013200949.21","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-10-9"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200949","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:56:54Z","timestamp":1756288614000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200949"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,4]]},"references-count":21,"alternative-id":["10.1136\/bcr-2013-200949"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200949","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,6,4]]}}}