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Determining Consensus Alignment and Barriers of Neonatal Thermal Management in Nepal Using a Modified Delphi Process.

Research paperGlobal Pediatric Health2024Full text
  • Delivery room and stabilisation
  • Family-integrated care
  • Medical
  • Nursing
  • Postnatal and transitional care
  • Thermoregulation

Summary

This study used a modified Delphi process with six lead newborn physicians from major birthing centres in Kathmandu to prioritise key practice standards for newborn thermal management in Nepal. Practices were drawn from 14 World Health Organization recommendations and ranked for hospital, health post and home settings. Consensus was reached for all ranked practices except radiant heat sources in hospital and kangaroo mother care for home births. Physicians judged interventions during the immediate delivery and resuscitation period to be the most impactful and feasible.

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