Incidence and Associated Factors with Neonatal Hypothermia in Nursery Unit
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Abstract
Hypothermia in newborns could directly affects longer hospital stay and may cause them serious problems or death. The objective of this prospective descriptive study was to explore incidence and associated factors with hypothermia in newborns during early admission in nursery unit. The instruments included the demographic data and the record of factors related to hypothermia which were tested for content validity by three experts and tested bedside with 10 newborn infants. The results found that the majority of 353 newborn infants were term newborns and having over 2,500 grams of birth weight. At admission period, incidence of temperature below 36.5 and 36.8 degree Celsius were 21.50% and 51.30%, respectively. At one hour after admission period, those incidence of temperature dropped to 8.80% and 37.10%, respectively. According to infant factors, the gestational age and birth weight of the newborn infants with normal temperature and those with temperature equal 36.8 degree Celsius or less were significantly statistical different (t = 2.26, p < .05 and t = 3.19, p < .05, respectively). The difference of the environmental, equipment, and nursing personnel factors with hypothermia did not reach statistical significance. Specific hypothermia prevention interventions for the newborn infants with concerning gestational age and birth weight should be designed in nursing practice.
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References
Nuntnarumit P. Measuring and temperature control in neonates. In: Pracha Nuntnarumit, editor. Application of physiological knowledge to care for newborns. Bangkok: Holistic Publishing; 2015. Thai.
Smith J, Alcock G, Usher K. Temperature measurement in the preterm and term neonate: A review of the literature. Neonatal Netw. 2013; 32(1): 16-25. doi: 10.1891/0730-0832.32.1.16.
Kriangsak J. Care of neonatal body temperate. In: Santi Punnahitanon, editor. Critical conditions in neonates. Bangkok: Active print; 2016. Thai.
Ringer SA. Core concepts: Thermoregulation in the newborn, part II: Prevention of aberrant body temperature. NeoReviews 2013; 14(5): e221-6. doi: https://doi.org/10.1542/neo.14-5-e221.
McCall EM, Alderdice F, Halliday HL, et al. Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants. Cochrane Database Syst Rev. 2018; 12(2): CD004210. doi: 10.1002/14651858.CD004210.pub5.
Lunze K, Bloom DE, Jamison DT, et al. The global burden of neonatal hypothermia: Systematic review of major challenge for newborn survival. BMC Medicine. 2013; 11(24): 1-11.
Miller SS, Lee HC, Gould JB. Hypothermia in very low birth weight infants: Distribution, risk factors and outcomes. J Perinatol. 2011; 31(Supply 1): S49-56. doi: 10.1038/jp.2010.177.
Tanigasalam V, Bhat V, Adhisivam B, et al. Prevalence of hypothermia among low birth weight neonates in tertiary care center in India. International Journal of Science and Healthcare Research. 2019; 4(4): 168-72. doi: 10.4444/ijshr.1003/356.
Mullany LC, Katz J, Khatry SK, et al. Neonatal hypothermia and associated risk factors among newborns of southern Nepal. BMC Medicine. 2010; 8: 43. doi: 10.1186/1741-7015-8-43.
Beletew B, Mengesha A, Wudu M, et al. Prevalence of neonatal hypothermia and its associated factors in East Africa: a systematicanalysis. 2020; 20: 148. doi: org/10.1186/s12887-020-02024-w.
Samugjung A. Practice guidelines for prevention of hypothermia among newborn patients. The Southern College Network. The Southern College Network Journal of Nursing and Public Health. 2016; 3(1): 60-76. Thai.
Eimsukprasert K, Senanorit S, Areekup P. Newborn temperature: a review literature [Internet]. 2020 [cited 2020 Aug 25]. Available from: https://apps.hpc.go.th/dmkm/web/uploads/2020/064285-20200605110148/
ec51247a1047bf331e7d08940.pdf
Jongwattakit S. Cause of neonatal hypothermia in NICU at Lampoon hospital [Internet]. 2016 [cited 2020 Aug 25]. Available from: http://www.zrolsoft.com/lpnhresearch/index.php/th/2559/42-2017-02-20-07-22-01.
Medical record unit. Annual statistic report. Chiang Mai: Medical record and statistic section of Mahajai Nakorn Chiang Mai Hospital; 2019. Thai.
Delavar MA, Akbarianrad Z, Mansouri MM, et al. Neonatal hypothermia and associated risk factors at Baby Friendly Hospital in Babol, Iran. Ann Med Health Sci Res. 2014; 4(Suppl 2): 99-103. doi: 10.4103/2141-9248.138022.
Datta V, Saili A, Goel S, et al. Reducing hypothermia in newborns admitted to a neonatal care unit in a large academic hospital in New Delhi, India. BMJ Open Quality. 2017; 6: e000183. doi: 10.1136/bmjoq-2017-000183.
Perlman J, Kjaer K. Neonatal and maternal temperature regulation during and after delivery. Anesth Analg. 2016; 123(1): 168-72. doi: 10.1213/ANE.0000000000001256.
Leehuahuad J, Phahuwatanakorn W, Serisathien Y. Impact of thermal insulated jackets on normal newborns’body temperatures. Thai J Nurs. 2013; 28(4): 5-15. Thai
Oatley HK, Blencowe H, Lawn JE, The effect of coverings, including plastic bags and wraps, on mortality and morbidity in preterm and full-term neonates. J Perinatol. 2016; 36(Suppl 1): S82-S88. doi: 10.1038/jp.2016.35.
Choijorhor R, Serisathien Y, Sangsawang B, et al. The effect of heat loss prevention with plastic dress and plastic-covered crib on hypothermia in preterm infants. Thai J Nurs. 2010; 25(3): 11-24. Thai
Belsches TC, Tilly AE, Miller TR, et al. Randomized trial of plastic bags to prevent term neonatal hypothermia in a resource-poor setting. Pediatrics. 2013; 132(3): e656-e661. doi: 10.1542/peds.2013-0172.
Punyavachira P, Yoorat Y. The effects of skin to skin maternal contact on baby temperature and oxygen saturation of term newborns in the delivery room, Ramathibodi hospital. J Public Health. 2016; 46(1): 82-94. Thai.
Demissie BW, Abera BB, Chichiabellu TY, et al. Neonatal hypothermia and associated factors among neonates admitted to neonatal intensive care unit of public hospitals in Addis Ababa, Ethiopia. BMC Pediatr. 2018; 18(1): 263. doi: 10.1186/s12887-018-1238-0.
Lyu Y, Shah PS, Ye XY, et al. Association between admission temperature and mortality and major morbidity in preterm infants born at fewer than 33 weeks’ gestation. JAMA Pediatr. 2015; 169(4): e150277. doi: 10.1001/jamapediatrics.2015.0277.
Clinical practice guidelines. Nursery unit #2 Maharajnakorn Chiang Mai University Hospital; 2018.
Andrews C, Whatley C, Smith M, et al. Quality-improvement effort to reduce hypothermia among high-risk infants on a mother-infant unit. Pediatrics. 2018; 141(3): e20171214. doi: 10.1542/peds.2017-1214.