Enhancement of Neonatal Hypothermia Prevention and Recognition Skills in Rural Uganda

PURPOSE: In low resource areas, neonatal hypothermia is an important source of neonatal morbidity. Separating newborns from their mothers at birth puts neonates at risk for hypothermia. The Teso Safe Motherhood Project (TSMP) in Soroti, Uganda provides birth center care for women in conflict areas of Northern Uganda. After conducting a needs assessment at TSMP, a continuing education project was developed to facilitate change in clinical practice to enhance prevention and recognition of neonatal hypothermia, including implementation of skin-to-skin practices at birth.STUDY DESIGN: This education project employed multiple learning strategies including pretest and posttest questionnaires, group discussion of cultural beliefs and practices, didactic education, participation in creative informational art, and demonstration, supervision, and return demonstration of skills.MAJOR FINDINGS: At the completion of the program, 100% of participants demonstrated a statistically significant increase in both knowledge and skills in the prevention and management of neonatal hypothermia (p = .011).MAIN CONCLUSION: The participants reported that this continuing education project enhanced their skills in neonatal hypothermia prevention and management. The cost-effective strategies employed in this project can be replicated in low resource settings, contributing to decreased mortality and morbidity from newborn hypothermia.

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Proportion of Neonatal Hypothermia and Associated Factors among New-borns at Gondar University Teaching and Refferal Hospital, Northwest Ethiopia: A Hospital Based Cross Sectional Study

General Medicine Open Access ◽

10.4172/2327-5146.1000198 ◽

2015 ◽

Vol 03 (04) ◽

Cited By ~ 2

Author(s):

Tewodros Seyum Erekia Ebrahim

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

University Teaching ◽

Sectional Study ◽

Cross Sectional ◽

Neonatal Hypothermia

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Neonatal Hypothermia and Associated Factors among Newborns Admitted in the Neonatal Intensive Care Unit of Dessie Referral Hospital, Amhara Region, Northeast Ethiopia

International Journal of Pediatrics ◽

10.1155/2020/3013427 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Yibeltal Asmamaw Yitayew ◽

Endashaw Belayhun Aitaye ◽

Helina Wondimu Lechissa ◽

Lubaba Oumer Gebeyehu

Keyword(s):

Preterm Delivery ◽

Associated Factors ◽

The Body ◽

Referral Hospital ◽

Night Time ◽

Thermal Care ◽

Skin Contact ◽

Skin To Skin ◽

Dessie Referral Hospital ◽

Neonatal Hypothermia

Introduction. Neonatal hypothermia is the reduction in the body temperature of the newborn (less than 36.5°C). It is a global problem in neonates born both at hospitals and homes, but it showed a higher prevalence in developing countries (>90%). Although hypothermia is rarely a direct cause of death, it contributes to a substantial proportion of neonatal mortality globally. Objective. To assess neonatal hypothermia and associated factors among newborns admitted in the NICU of Dessie Referral Hospital. Methods and Materials. An institution-based cross-sectional study was conducted from March 15 to May 30, 2018. The data was collected from the mother and the chart of the newborn using a semistructured questionnaire. Data were cleaned, coded, and entered in EPI-info version 7.1.2.0 then exported to Statistical Package for Social Sciences (SPSS) version 20 software for analysis. Descriptive statistics were used to summarize the data. Bivariate and multivariate logistic regression and crude and adjusted odds ratio with their 95% confidence interval were computed. Finally, p value < 0.05 was used to identify variables that had a significant association with neonatal hypothermia. Result. The proportion of neonatal hypothermia in the study area was 66.8%. Preterm delivery (AOR=2.6, 95% CI: 1.1, 6.2), no skin-to-skin contact within 1 hour of delivery (AOR=3.0, 95% CI: 1.3, 7.8), delivered at night time (AOR=2.0, 95% CI: 1.02, 4.0), and neonates who had resuscitation (AOR=2.9, 95% CI: 1.1, 7.2) showed significant association with neonatal hypothermia. Conclusion. In this study, the proportion of hypothermia was high. Preterm delivery, no skin-to-skin contact within 1 hour, night-time delivery, and having resuscitation were significantly associated with neonatal hypothermia. Therefore, special attention is needed for the thermal care of preterm neonates and neonates delivered at night time. Furthermore, there should be strict adherence to cost-effective thermal care recommendations like warm resuscitation and skin-to-skin contact.

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G265 Neonatal hypothermia – still a serious problem in a low-income country

10.1136/archdischild-2019-rcpch.257 ◽

2019 ◽

Author(s):

FM Dastur Mackenzie ◽

K Shepherd ◽

JP Rukabyarwema ◽

T Lissauer

Keyword(s):

Low Income ◽

Income Country ◽

Low Income Country ◽

Neonatal Hypothermia

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Minimal enteral nutrition during neonatal hypothermia treatment for perinatal hypoxic-ischaemic encephalopathy is safe and feasible

Acta Paediatrica ◽

10.1111/apa.12838 ◽

2014 ◽

Vol 104 (2) ◽

pp. 146-151 ◽

Cited By ~ 12

Author(s):

Balamurugan Thyagarajan ◽

Emma Tillqvist ◽

Vijay Baral ◽

Boubou Hallberg ◽

Brigitte Vollmer ◽

...

Keyword(s):

Enteral Nutrition ◽

Hypothermia Treatment ◽

Neonatal Hypothermia

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Neonatal hypothermia in sub-Saharan Africa: A review

Nigerian Journal of Clinical Practice ◽

10.4103/1119-3077.110120 ◽

2013 ◽

Vol 16 (2) ◽

pp. 129 ◽

Cited By ~ 22

Author(s):

R Onalo

Keyword(s):

Sub Saharan Africa ◽

Sub Saharan ◽

Neonatal Hypothermia

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Association of Neonatal Hypothermia with Morbidity and Mortality in a Tertiary Hospital in Malawi

Journal of Tropical Pediatrics ◽

10.1093/tropej/fmz086 ◽

2020 ◽

Vol 66 (5) ◽

pp. 470-478

Author(s):

Frank Phoya ◽

Josephine Langton ◽

Queen Dube ◽

Pui-Ying Iroh Tam

Keyword(s):

Data Analysis ◽

Birth Weight ◽

Early Intervention ◽

Odds Ratio ◽

Clinical Course ◽

Strong Predictor ◽

Tertiary Hospital ◽

Morbidity And Mortality ◽

Tertiary Level ◽

Neonatal Hypothermia

Abstract Objectives To evaluate associations with neonatal hypothermia in a tertiary-level neonatal unit (NU) in Malawi. Methods Neonates with a birth weight >1000 g were recruited and temperatures were recorded 5 min after birth, on admission and 4 h thereafter. Clinical course and outcome were reviewed. Data were analysed using Stata v.15 and p < 0.05 was considered statistically significant. Results Between August 2018 to March 2019, 120 neonates were enrolled, and 112 were included in the data analysis. Hypothermia at 5 min after birth was noted in 74%, 77% on admission to the NU and 38% at 24 h. Neonates who had hypothermia 5 min after birth were more likely to have hypothermia on admission to the NU compared with normothermic subjects (p < 0.01). All neonates with hypothermia on admission to the NU died (100 vs.72%, p = 0.02), but hypothermia at 5 min nor at 24 h were not associated with mortality. After adjusting for potential confounders, the odds ratio of hypothermia at 5 min for hypothermia on admission to NU was 13.31 (95% CI 4.17–42.54). Discussion A large proportion of hospitalized neonates is hypothermic on admission and has associated morbidity and mortality. Our findings suggest that a strong predictor of mortality is neonatal hypothermia on admission to the NU, and that early intervention in the immediate period after delivery could decrease the incidence of hypothermia and reduce associated morbidity and mortality.

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