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Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran
BACKGROUND: Thermal care is an important element of Baby Friendly Hospital. AIM: The objective of this study was to determine the prevalence of neonatal hypothermia and associated risk factors in healthy full term newborns at a Baby Friendly Hospital. SUBJECTS AND METHODS: A cross-sectional, descrip...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145526/ https://www.ncbi.nlm.nih.gov/pubmed/25184096 http://dx.doi.org/10.4103/2141-9248.138022 |
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author | Delavar, MA Akbarianrad, Z Mansouri, MM Yahyapour, M |
author_facet | Delavar, MA Akbarianrad, Z Mansouri, MM Yahyapour, M |
author_sort | Delavar, MA |
collection | PubMed |
description | BACKGROUND: Thermal care is an important element of Baby Friendly Hospital. AIM: The objective of this study was to determine the prevalence of neonatal hypothermia and associated risk factors in healthy full term newborns at a Baby Friendly Hospital. SUBJECTS AND METHODS: A cross-sectional, descriptive study was conducted on consecutively healthy full term neonates recruited during a 1 year. Temperatures were recorded immediately after birth and at the age of 1, 2 and 4 h after birth in order to estimate the prevalence of neonatal hypothermia, defined as axillary temperature less than 36.0°C. The data were collected using an especially questionnaire; data of history of abortion, parity, mode of vaginal delivery, gestational age, birth weight, newborn temperatures, time of the first skin-to-skin contact, time of first breast feeding, first wrapping and first visiting by the pediatrician. Association between neonatal hypothermia and risk factors was determined using logistic regression. RESULTS: Axillary temperature showed 41.2%, 47.5%, 46.4% and 37.2% of the a consecutive number of 522 healthy full term neonates were moderately hypothermia immediately after birth, at 1 h, 2 h and 4 h respectively. Spontaneous labor and warming room were associated with decreased risk of hypothermia. A persistently high prevalence of neonatal hypothermia was shown within the first 4 h of vaginal birth. All analyses were carried out using the SPSS version 17.0 (Chicago IL, USA). Test of the associations were done, stepwise multiple logistic regressions. Odds ratios (ORs) were assessed using maximum likelihood and associated 95% confidence intervals were computed. A P ≤ 0.05 was considered to be statistically significant CONCLUSION: The findings of this study indicated that a high prevalence of neonatal hypothermia was identified among healthy full term newborn in a Baby Friendly Hospital Initiative. Therefore, it is necessary to emphasize on the development “warm chain” in preventing neonatal hypothermia in Baby Friendly Hospital. |
format | Online Article Text |
id | pubmed-4145526 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-41455262014-09-02 Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran Delavar, MA Akbarianrad, Z Mansouri, MM Yahyapour, M Ann Med Health Sci Res Original Article BACKGROUND: Thermal care is an important element of Baby Friendly Hospital. AIM: The objective of this study was to determine the prevalence of neonatal hypothermia and associated risk factors in healthy full term newborns at a Baby Friendly Hospital. SUBJECTS AND METHODS: A cross-sectional, descriptive study was conducted on consecutively healthy full term neonates recruited during a 1 year. Temperatures were recorded immediately after birth and at the age of 1, 2 and 4 h after birth in order to estimate the prevalence of neonatal hypothermia, defined as axillary temperature less than 36.0°C. The data were collected using an especially questionnaire; data of history of abortion, parity, mode of vaginal delivery, gestational age, birth weight, newborn temperatures, time of the first skin-to-skin contact, time of first breast feeding, first wrapping and first visiting by the pediatrician. Association between neonatal hypothermia and risk factors was determined using logistic regression. RESULTS: Axillary temperature showed 41.2%, 47.5%, 46.4% and 37.2% of the a consecutive number of 522 healthy full term neonates were moderately hypothermia immediately after birth, at 1 h, 2 h and 4 h respectively. Spontaneous labor and warming room were associated with decreased risk of hypothermia. A persistently high prevalence of neonatal hypothermia was shown within the first 4 h of vaginal birth. All analyses were carried out using the SPSS version 17.0 (Chicago IL, USA). Test of the associations were done, stepwise multiple logistic regressions. Odds ratios (ORs) were assessed using maximum likelihood and associated 95% confidence intervals were computed. A P ≤ 0.05 was considered to be statistically significant CONCLUSION: The findings of this study indicated that a high prevalence of neonatal hypothermia was identified among healthy full term newborn in a Baby Friendly Hospital Initiative. Therefore, it is necessary to emphasize on the development “warm chain” in preventing neonatal hypothermia in Baby Friendly Hospital. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4145526/ /pubmed/25184096 http://dx.doi.org/10.4103/2141-9248.138022 Text en Copyright: © Annals of Medical and Health Sciences Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Delavar, MA Akbarianrad, Z Mansouri, MM Yahyapour, M Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran |
title | Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran |
title_full | Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran |
title_fullStr | Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran |
title_full_unstemmed | Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran |
title_short | Neonatal Hypothermia and Associated Risk Factors at Baby Friendly Hospital in Babol, Iran |
title_sort | neonatal hypothermia and associated risk factors at baby friendly hospital in babol, iran |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145526/ https://www.ncbi.nlm.nih.gov/pubmed/25184096 http://dx.doi.org/10.4103/2141-9248.138022 |
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