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

Autor: Winstone M. Nyandiko, Paul Kiptoon, Florence Lubuya
Rok vydání: 2020
Předmět:
Male
Resuscitation
Epidemiology
Maternal Health
Breastfeeding
Hypothermia
Logistic regression
Global Health
Neonatal Care
Pediatrics
Infant
Newborn
Diseases
Geographical Locations
Labor and Delivery
Medicine and Health Sciences
Medicine
Public and Occupational Health
Prospective cohort study
Referral and Consultation
Multidisciplinary
Obstetrics
Temperature
Obstetrics and Gynecology
Hospitalization
Breast Feeding
Practice Guidelines as Topic
Female
Guideline Adherence
medicine.symptom
Research Article
medicine.medical_specialty
Referral
Science
Birth weight
World Health Organization
Odds
Signs and Symptoms
Humans
Hospitals
Teaching
business.industry
Infant
Newborn
Biology and Life Sciences
Neonates
Odds ratio
Survival Analysis
Kenya
Confidence interval
Health Care
Relative risk
Medical Risk Factors
Emergency medicine
People and Places
Africa
Birth
Women's Health
Clinical Medicine
Neonatology
business
Breast feeding
Developmental Biology
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 3, p e0248838 (2021)
ISSN: 1932-6203
Popis: BackgroundNeonatal hypothermia is a great concern with near epidemic levels globally. The prevalence in Kenya is as high as 87%. Local data on the associated factors including adherence to warm chain guidelines as recommended by the World Health Organisation (WHO) is limited.ObjectiveTo 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).MethodsThis descriptive cross-sectional study was carried out among neonates admitted at the MTRH newborn unit. Systematic sampling was used to recruit 372 eligible participants. Axillary thermometry, interview of respective mothers and observation of thermal care practices was done. Means and medians described continuous variables while frequencies with corresponding percentages summarized categorical variables. Associations between various variables and neonatal hypothermia were computed using the Pearson chi-square test. Relative Risks and Odds Ratios were assessed between predictor and outcome variables. Independence among significant variables was determined through the logistic regression model at 5% prediction level.ResultsAmong the 372 participants, 64.5% (n=240) were born at MTRH, 47.6% (177) were preterm while 53.2% (198) had birth weights below 2500 grams. Admission hypothermia was noted among 73.7% (n= 274) while 13% (49) died on day one of admission. Only 7.8 % (29) newborns accessed optimal thermal care. Prematurity (RR=1.62, 95% CI: 1.43-1.84), day one mortality (RR=17.7, 95% CI: 2.40, 122.71) and adherence to the warm chain (pConclusionThree out four neonates at the MTRH newborn unit had hypothermia at admission. Hypothermia was significantly associated with prematurity, adherence to warm chain and day one mortality. There was notably low adherence to the warm chain.RecommendationStrategies to optimize adherence to the warm chain at MTRH with emphasis on 1thermal care of the preterm neonate should be instituted.
Databáze: OpenAIRE
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