Thermal care of the newborn

2018 ◽  
pp. 97-106
Keyword(s):  
Thermal Care

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

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.

Peri-operative supplemental warming was associated with fewer morbid cardiac events than routine thermal care

1997 ◽  
Vol 1 (3) ◽  
pp. 78
Author(s):  
Gideon Cohen ◽  
Richard D Weisel ◽  
Vivek Rao ◽  
Michael A. Borger
Keyword(s):  
Cardiac Events ◽  
Thermal Care

scholarly journals Delivery room thermal care interventions in preterm neonates

2021 ◽  
Author(s):  
Islam Nour ◽  
Nehad Nasef ◽  
Hesham Abdel‐Hady
Keyword(s):  
Delivery Room ◽  
Preterm Neonates ◽  
Thermal Care

scholarly journals Neonatal hypothermia and adherence to World Health Organisation thermal care guidelines among newborns at Moi Teaching and Referral Hospital, Kenya

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248838
Author(s):  
Winstone Mokaya Nyandiko ◽  
Paul Kiptoon ◽  
Florence Ajaya Lubuya
Keyword(s):  
World Health Organisation ◽  
Referral Hospital ◽  
World Health ◽  
Preterm Neonates ◽  
Local Data ◽  
Thermal Care ◽  
Increased Risk ◽  
Care Guidelines ◽  
Prospective Study Design ◽  
Neonatal Hypothermia

Neonatal hypothermia is a great concern with near epidemic levels globally. In Kenya, its prevalence is as high as 87% with limited local data on the associated factors such as adherence to warm chain guidelines as recommended by the World Health Organisation (WHO) is limited. This study aimed to determine the prevalence of hypothermia and level of adherence to the WHO thermal care guidelines among newborns admitted at Moi Teaching and Referral Hospital (MTRH). It adopted a prospective study design of following up neonates for the first 24 hours of admission to the MTRH newborn unit. Thermometry, interview of mothers and observation of thermal care practices was done. Descriptive and inferential statistical techniques were adopted. Specifically, Pearson’s chi-square test of associations between predictors of neonatal hypothermia and management outcomes was conducted with their corresponding risk estimates at 95% confidence interval. Among the 372 participants, 64.5% (n = 240) were born at MTRH, 47.6% (177) were preterm and 53.2% (198) had birth weights below 2500 grams. Admission hypothermia was noted among 73.7% (274) and 13% (49) died on the first day of admission. Only 7.8% (29) newborns accessed optimal thermal care. Prematurity, day one mortality and adherence to the warm chain were significantly (p<0.001) associated with admission hypothermia. Inappropriate thermal appliance, inadequate clothing and late breastfeeding significantly increased the risk of neonatal hypothermia. Absence of admission hypothermia increased the likelihood of neonatal survival more than twenty-fold (AOR = 20.91, 95% CI: 2.15–153.62). Three out four neonates enrolled had admission hypothermia which was significantly associated with prematurity, lack of adherence to warm chain and increased risk of neonatal mortality on the first day of life. There was low adherence to the WHO thermal care guidelines. This should be optimized among preterm neonates to improve likelihood of survival.

scholarly journals Early Newborn Bath and Associated Factors among Parturient Women Who Gave Birth in the Last Month in Harar Region, Eastern Ethiopia, 2017.

2020 ◽  
Vol 13 (1) ◽  
pp. 196-202
Author(s):  
Fissaha T. Welay ◽  
Meresa B. Mengesha ◽  
Tsige S. Gebremedhin ◽  
Senait G. Gebremeskel ◽  
Hagos D. Hidru ◽  
...  
Keyword(s):  
Associated Factors ◽  
Large Body ◽  
Pulmonary Hemorrhage ◽  
Systematic Sampling ◽  
Bed Net ◽  
Eastern Ethiopia ◽  
Thermal Care ◽  
Increased Risk ◽  
Double Population ◽  
Study Participants

Background: Neonatal thermal care is a vital intervention as newborns are susceptible to hypothermia than adults for certain reasons such as having a large body surface area, thin skin, little insulating fat, and overwhelmed thermoregulation mechanisms. Many newborn complications develop because of hypothermia due to thermal care malpractices. The leading thermal practice by women of developing countries is early bathing which predisposes newborns for life-threatening situations, such as low blood sugar levels, respiratory distress, abnormal clotting, jaundice, pulmonary hemorrhage and increased risk of developing infections. Hence, this research is aimed to provide substantial evidence regarding the women’s practices of newborn bath and the factors that determine early (<24hr) bathing. Objective: The study aimed to assess the early newborn bath and its associated factors among parturient women who gave birth in the last month in the Harar region, Eastern Ethiopia, 2017. Methods: The study applied an institutional-based cross-sectional study design by recruiting 433 women. The data collectors interviewed study participants face to face at the baby immunization ward from two hospitals and four health centers. The author calculated the sample size using a double population proportion formula. A systematic sampling technique from the women’s medical registration frame was used to select the final study participants. The data collectors gathered the data using a structured questionnaire adapted from different literature, checking its consistency, reliability and validity by a pretest. Results: The response rate of this study was 99.8%. The early newborn bathing practice was found in 153 (35.4% with 95% (CI): (30.3%, 40.3%) women. Uneducated (AOR=3.12 95% CI: (2.12-5.3), no knowledge of hypothermia (AOR=4.95 95% CI: (3.10-12.2), being Primi para (AOR=3.5 95% CI: (2.5-5.6) and no utilization of newborn bed net (AOR=6.2 95% CI: (3.3-45) were statistically significant factors determining early newborn bathing practice. Conclusion: The study revealed that although the ministry implemented a good deal of awareness promotion activities, women still practice early newborn bathing. Maternal illiteracy, giving birth for the first time, knowledge deficiency related to hypothermia and newborn bed net application were among the factors which demand improvement to solve the problem.

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