Evidence · Research paper
Neonatal hypothermia and adherence to World Health Organisation thermal care guidelines among newborns at Moi Teaching and Referral Hospital, Kenya.
- Breast milk and breastfeeding
- Delivery room and stabilisation
- Medical
- Nursing
- Nutrition and gastrointestinal
- Postnatal and transitional care
- Quality improvement
- Thermoregulation
Summary
Prospective observational study of 372 newborns admitted to the newborn unit at Moi Teaching and Referral Hospital, Kenya, assessing the prevalence of admission hypothermia and adherence to WHO warm chain guidelines over the first 24 hours. Admission hypothermia affected about three-quarters of infants, and very few received optimal thermal care. Prematurity, poor warm chain adherence, inappropriate thermal appliances, inadequate clothing and late breastfeeding were associated with hypothermia, which was in turn linked to day-one mortality. The authors call for improved thermal care adherence, particularly for preterm infants in low-resource settings.
Summary written for NICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
The full text of this openly licensed paper is available to NICUlearn members, and Neeky can answer questions from it.
Guidelines are shown for education. Follow your unit's own guidance and senior advice.