Prevalence of Hypothermia and Associated Factors Among Neonates Visiting Neonatal Intensive Care Unit, Asella Teaching and Referral Hospital, Asella, South East Ethiopia
DOI:
https://doi.org/10.14738/bjhmr.115.17673Keywords:
Associated factors, Hypothermia, Neonate, PrevalenceAbstract
Background: Hypothermia is the reduction in the body temperature (below 36.5°C). It is a global problem but it showed a higher prevalence in developing countries (>90%) and contributes to a substantial proportion of neonatal mortality. Objective: To assess the prevalence and associated factors of neonatal hypothermia among newborns admitted to the NICU of Asella Referral Hospital. Methods and Materials: Institution-based retrospective cross-sectional study was conducted from September to October 2022. The data was collected from mother and newborn charts using a semi-structured questionnaire. Data were cleaned, coded, entered in EPI-info version 7.2, and exported to Statistical Package for Social Sciences (SPSS) version 25 for analysis. Bivariate and multivariate logistic regression and crude and adjusted odds ratio with 95% confidence interval were computed. Variables that had a significant association in multivariate logistic regression were taken as a factor of neonatal hypothermia. Result: Of 189 neonates included in the study, 137 (72.4%) had neonatal hypothermia. Low birth weight (AOR=7.94; 95% CI: 27, 27.71), pre-term delivery (AOR=2.99; 95% CI: 1.73, 12.23), bathing the neonate before 24 hours (AOR=5.12; 95% CI: 1.02, 25.68), not starting breastfeeding within 1 hour of birth (AOR=4.09; 95% CI: 1.27, 13.23), no skin-to-skin contact immediately after birth (AOR=20.98; 95% CI: 1.69, 259.68), neonates who received CPR (AOR=4.17, 95% CI: 1.15, 15.02), and neonates born in a room not having radian heater (AOR=5.14; 95% CI: 2.03, 12.66) showed significant association with neonatal hypothermia. Conclusion: In this study, the proportion of hypothermia was high. Therefore, special attention is needed for the thermal care of preterm neonates, Low birth weight, and neonates receiving CPR. There should be strict adherence to WHO recommendations like warm resuscitation, skin-to-skin contact, breastfeeding within one hour, and delaying bathing of the neonate.
References
WHO, “Newborns: reducing mortality,” 2019, https://www.who.int/newsroom/factsheets/detail/newborns reducing mortality.
J. E. Lawn, S. Cousens, and J. Zupan, “4 million neonatal deaths: When? Where? Why?” The Lancet, vol. 365, no. 9462, pp. 891–900, 2005.
K. Lunze, D. E. Bloom, D. T. Jamison, and D. H. Hamer, “The global burden of neonatal hypothermia: a systematic review of a major challenge for newborn survival,” BMC Medicine, vol. 11, no. 1, p. 24, 2013.
V. Kumar, J. C. Shearer, A. Kumar, and G. L. Darmstadt, “Neonatal hypothermia in low resource settings: a review,” Journal of Perinatology, vol. 29, no. 6, pp. 401–412, 2009.
L. C. Mullany, J. Katz, S. K. Khatry, S. C. LeClerq, G. L. Darmstadt, and J. M. Tielsch, “Risk of mortality associated with neonatal hypothermia in southern Nepal,” Archives of Pediatrics & Adolescent Medicine,
WHO, Mother-baby package (WHO/RHT/MSM/97.2, Rev 1), World Health Organization, Geneva, 1997.
CMNRP, “Newborn Thermoregulation Self–Learning Module,” 2013, http://www.cmnrp.ca/uploads/documents/Newborn_Thermoregulation_SLM_2013_06.pdf.
F. Nayeri and F. Nili, “Hypothermia at birth and its associated complications in newborn infants: a followup study,” Iranian Journal of Public Health, vol. 35, no. 1, pp. 48–52, 2006.
L. C. Mullany, J. Katz, S. K. Khatry, S. C. LeClerq, G. L. Darmstadt, and J. M. Tielsch, “Incidence and seasonality of hypothermia among newborns in southern Nepal,” Archives of Pediatrics & Adolescent Medicine,
B. W. Demissie, B. B. Abera, T. Y. Chichiabellu, and F. H. Astawesegn, “Neonatal hypothermia and associated factors among neonates admitted to neonatal intensive care unit of public hospitals in Addis Ababa, Ethiopia,” BMC Pediatrics, vol. 18, no. 1, p. 263, 2018.
T. Seyum and E. Ebrahim, “Proportion of neonatal hypothermia and associated factors among new-borns at Gondar University Teaching and Referral hospital, northwest Ethiopia: a hospital-based cross-sectional study,” General Medicine: Open Access, vol. 3, no. 4, 2015.
WHO recommendations on newborn health: guidelines approved by the WHO Guidelines Review Committee, World Health Organization, 2017.
Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Illnesses with Limited Resources, World Health Organization, 2005.
R. Byaruhanga, A. Bergstrom, and P. Okong, “Neonatal hypothermia in Uganda: prevalence and risk factors,” Journal of Tropical Pediatrics, vol. 51, no. 4, pp. 212–215, 2005.
T. A. Ogunlesi, O. B. Ogunfowora, F. A. Adekanmbi, B. M. Fetuga, and D. M. Olanrewaju, “Point-of-admission hypothermia among high-risk Nigerian newborns,” BMC Pediatrics, vol. 8, no. 1, p. 40, 2008.
W. A. Bayih, N. Assefa, M. Dheresa, B. Minuye, and S. Demis, “Neonatal hypothermia and associated factors within six hours of delivery in the eastern part of Ethiopia: a cross-sectional study,” BMC Pediatrics, vol. 19, no. 1, p. 252, 2019.
T. A. Ogunlesi, O. B. Ogunfowora, and M. M. Ogundeyi, “Prevalence and risk factors for hypothermia on admission in Nigerian babies< 72 h of age,” Journal of Perinatal Medicine, vol. 37, no. 2, pp. 180–184, 2009.
Yibeltal Asmamaw Yitayew et al, 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 Volume 2020, Article ID 3013427, 8 pages https://doi.org/10.1155/2020/3013427
S. Akter, R. Parvin, and B. H. N. Yasmeen, “Admission hypothermia among neonates presented to neonatal intensive care unit,” Journal of Nepal Pediatric Society, vol. 33, no. 3, pp. 166–171, 2013.
Bhatia, A. Srivastava, U. Sharma, and R. Rastogi, “Incidence and risk factors for neonatal hypothermia at presentation, “International Journal of Medical Research Professionals (IJMRP), vol. 3, no. 3, pp. 175–179, 2017.
M. D. Thwala, The quality of neonatal inter-facility transport systems within the Johannesburg metropolitan region, WIRED Space, 2012.
D. G. Feleke, E. K. Wage, T. Getachew, and A. Gedefie, “Intestinal parasitic infections and associated factors among street dwellers’ in Dessie town, north-east Ethiopia: a cross sectional study,” BMC Research Notes,
N. McNamara, Thermoregulation in the high-risk infant, RPA Care Clinical Practice Guidelines, 2009.
H. Tasew, K. Gebrekristos, K. Kidanu, T. Mariye, and G. Teklay, “Determinants of hypothermia on neonates admitted to the intensive care unit of public hospitals of the central zone, Tigray, Ethiopia 2017: an unmatched case-control study,” BMC Research Notes, vol. 11, no. 1, p. 576, 2018.
S. M. Nimbalkar, V. K. Patel, D. V. Patel, A. S. Nimbalkar, A. Sethi, and A. Phatak, “Effect of early skin-to-skin contact following normal delivery on the incidence of hypothermia in neonates more than 1800g: randomized control trial,” Journal of Perinatology, vol. 34, no. 5, pp. 364–368, 2014.
S. Srivastava, A. Gupta, A. Bhatnagar, and S. Dutta, “Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates,” Indian Journal of Public Health, vol. 58, no. 1, pp. 22–26, 2
S. Waldron and K. R. Mac, “Neonatal thermoregulation,” Infantry, vol. 3, no. 3, pp. 101–104, 2007.
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