Interventions to prevent hypothermia at birth in preterm and/or low birthweight infants

McCall, Emma; Alderdice, Fiona; Halliday, Henry L.; Jenkins, John; Vohra, Sunita

doi:10.1002/14651858.cd004210.pub3

Cited by 103 publications

(120 citation statements)

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“…Bathing the newborn babies shortly after birth may increase the risk of hypothermia [9]. This finding of the present study correlates with results of another study done in an urban area of New Delhi where it was observed that bathing the baby immediately after birth was common practice in 82.6% of home deliveries [10].…”

Section: Pandiamunian and Ishwaryasupporting

confidence: 90%

Knowledge of Government and Private Primary Health Care Workers on Newborn Care Components: A Questionnaire-Based Cross-Sectional Comparative Study

Jayabal

Thaniarasu

2017

Asian J Pharm Clin Res

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Objective: This study was done to evaluate the knowledge of primary health-care workers about the newborn care components. Methods:The Institutional Ethics Committee approval was obtained, and a cross-sectional study was carried out among the primary health-care workers of Karaikal using a pretested questionnaire from January 2015 to March 2015. The questionnaire contained questions on various domains of newborn care components. The study participants were explained about the study. Verbal informed consent was obtained, and the questionnaire was introduced to 383 health-care workers. The answered questionnaires were collected and analyzed.Results: A total of 349 participants (192-government employees; 157-private employees) were willing to take part in the study. Most (54.7%) of the government participants were nurses and auxiliary nurse midwives (43.2%) whereas the private sector participants were predominantly (79%) nurses. The knowledge level about some of the newborn care components, namely, positioning and attachment, advice on discharge, time of follow-up checkup, bad child rearing practices, and danger signs of newborn were assessed to be predominantly inadequate among a majority of health workers of both sectors. 22.29% and 41.1% of the private health-care workers and government health-care workers respectively, were having an overall adequate knowledge (overall score >75%) on newborn care components. Knowledge of the government health workers was significantly better than private health-care staff (P < 0.001). Conclusion:Knowledge is found to be inadequate among health-care workers on some newborn care components which necessitate measures to improve.

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Section: Pandiamunian and Ishwaryasupporting

confidence: 90%

Knowledge of Government and Private Primary Health Care Workers on Newborn Care Components: A Questionnaire-Based Cross-Sectional Comparative Study

Jayabal

Thaniarasu

2017

Asian J Pharm Clin Res

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“…A Cochrane review of polyethylene and polyurethane bags and wraps showed that they resulted in significantly lower rates of hypothermia among infants <32 weeks gestation. 79,100 Many of these bags and plastic sheets are locally available at low cost in low resource settings.…”

Section: Synthetic External Insulationmentioning

confidence: 99%

“…7 Prevention and Management: Behaviors and appropriate technology that maintain the appropriate thermal environment and prevent heat loss, including STSC and breastfeeding, 60,90,99 radiant warmers and incubators (in areas of consistent electricity), 20 heated water-filled mattresses, 20 plastic wraps and bags, 79,100 and topical agents (including oil massage). 39,69,79,80,101 morbidity; the contribution of hypothermia to neonatal mortality is poorly understood.…”

Section: Conclusion and Further Researchmentioning

confidence: 99%

Neonatal hypothermia in low resource settings: a review

et al. 2009

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Background: Hypothermia is increasingly recognized as a major cause of neonatal morbidity and mortality in resource poor settings. High prevalence of hypothermia has been reported widely from warmer high mortality regions of Africa and South Asia. The World Health Organization recognizes newborn thermal care as a critical and essential component of essential newborn care; however, hypothermia continues to remain under-documented, under-recognized and under-managed.Objective: This review aims to provide a thorough patho-physioepidemiological discussion of neonatal hypothermia applied to local risk factors within the developing country context with particular emphasis on prevention, recognition and management.Method: All available published literature on neonatal hypothermia relevant to resource poor settings were reviewed. Studies from the developing country settings were primarily reviewed for epidemiology, domiciliary risk factors as well as potential interventions for thermal care.Result and Discussion: Functional integrity and efficiency of biological systems is critically dependent on an optimal and very narrow range of core body temperature. Risk factors for neonatal hypothermia differ markedly within low resource settings. A combination of physiological, behavioral and environmental factors universally put all newborns, irrespective of birth weight, at risk of hypothermia. The knowledge deficit along the continuum from health providers to primary care givers has sustained the silent epidemic of hypothermia. The challenges of recognition, understanding of local risk factors and communication have meant a lack of informed thermal care for newborns. Simple, feasible interventions exist, but need to be applied, based on local risk factors that disrupt the warm chain. Further research is needed to document local risk factors, develop better techniques for recognition, evaluation of thermal care within essential newborn care and communication strategies for program effectiveness. Keywords: hypothermia; skin-to-skin care; warm chain; community; newborn; neonatal health Introduction 'If a definition of life were required, it must be most clearly on that capacity, by which the animal preserves its proper heat under the various degrees of temperature of the medium in which it livesy a few degrees of increase or diminution of the heat of the system, produces disease and death' said James Currie some two centuries ago, recognizing the central importance of temperature regulation in health. 1 Although folklore associated with increased temperature or fever has been recorded throughout history across virtually every culture and civilization, a recognition of hypothermia and its clinical significance, particularly for newborn health is a relatively recent advance. 1,2 Moreover, progress toward thermal care of newborns in developed countries has far outstripped knowledge and practice in developing country settings, where 99% of global neonatal deaths occur. 3,4 Hypothermia during the newborn period is widely regarded as a...

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“…Coverage of key maternal and newborn health interventions in developing countries is low, and wide disparities exist within countries, across socioeconomic status, geographic location and educational status. In 2008, only 63% of deliveries in developing countries were attended by skilled health personnel, as opposed to 99% in developed regions [2]. Furthermore, within developing regions, the proportion of women receiving the World Health Organization (WHO) recommended four or more antenatal visits is 67% in urban areas versus only 34% in rural areas.…”

Section: Introductionmentioning

confidence: 99%

The interconnections between maternal and newborn health – evidence and implications for policy

Lassi

Majeed

Rashid

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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The past decade has witnessed increasing global attention and political support for maternal, newborn and child health. Despite this increased attention, actual progress has been slow and sporadic: coverage of key maternal and newborn health interventions remains low and there are wide disparities in access to care, within and across countries. Strategies for improving maternal and newborn health are closely linked, and can be delivered most effectively through a continuum of care approach. While these interventions are largely known, there is little information on which interventions have a positive health impact for both women and newborns. This supplement identifies the interventions during the preconception, pregnancy, intrapartum and postnatal periods found to have a positive, synergistic effect on maternal and neonatal outcomes. These interventions are then grouped into packages of care for delivery at the community, health center or hospital levels.

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Interventions to prevent hypothermia at birth in preterm and/or low birthweight infants

Cited by 103 publications

References 104 publications

Knowledge of Government and Private Primary Health Care Workers on Newborn Care Components: A Questionnaire-Based Cross-Sectional Comparative Study

Knowledge of Government and Private Primary Health Care Workers on Newborn Care Components: A Questionnaire-Based Cross-Sectional Comparative Study

Neonatal hypothermia in low resource settings: a review

The interconnections between maternal and newborn health – evidence and implications for policy

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