Hypothermia Among Neonates Admitted to the Neonatal Unit at a Tertiary Hospital in South Africa

Overview

Journal J Perinatol

Specialty Gynecology & Obstetrics

Date 2019 Nov 1

PMID 31666645

Citations 4

Authors

Jacqueline C Ngeny

Sithembiso Velaphi

Affiliations

Soon will be listed here.

Abstract

Objectives: To determine the prevalence of hypothermia on admission and at 24 h of life in very low birth weight infants (VLBWI) and associated morbidity and mortality.

Study Design: Hospital records of VLBWI admitted to a neonatal unit were reviewed for information on patient's body temperature, clinical characteristics and mortality. Comparisons between normothermic and hypothermic VLBWI were performed.

Results: Mean gestational age and birth weight of enrolled infants were 29 ± 3 weeks and 1140 ± 253 g, respectively. Prevalence of admission hypothermia was 46.1%, with 38% developing hypothermia within 24-h following admission. VLBWI with hypothermia were more likely to have been born vaginally [aOR 2.85 (1.37-5.91)], have a birth weight < 1000 g [aOR 2.28 (1.25-4.16)], required resuscitation at birth [aOR 2.20 (1.23-3.94)], develop metabolic acidosis [aOR 3.04 (1.35-6.84)] and die within the first week of life [aOR 4.79 (1.43-16.02)].

Conclusions: Prevalence of hypothermia in VLBWI is high and is associated with poor outcomes.

Citing Articles

Hypothermia in neonates born by caesarean section at a tertiary hospital in South Africa.

Patel M, Ramagaga N, Kruger D, Lehnerdt G, Mansoor I, Mohlala L Front Pediatr. 2022; 10:957298.

PMID: 36561484 PMC: 9763723. DOI: 10.3389/fped.2022.957298.

Factors influencing survival and short-term outcomes of very low birth weight infants in a tertiary hospital in Johannesburg.

Ingemyr K, Elfvin A, Hentz E, Saggers R, Ballot D Front Pediatr. 2022; 10:930338.

PMID: 36186656 PMC: 9523153. DOI: 10.3389/fped.2022.930338.

Relationship between Admission Temperature and Risk of Cerebral Palsy in Infants Admitted to Special Care Unit in a Low Resource Setting: A Retrospective Single-Center Study.

Guadagno C, Cavallin F, Brasili L, Maziku D, Leluko D, Azzimonti G Children (Basel). 2022; 9(3).

PMID: 35327724 PMC: 8947039. DOI: 10.3390/children9030352.

Outcomes of neonatal hypothermia among very low birth weight infants: a Meta-analysis.

Mohamed S, Ahmed S, Khidir R, Shaheen M, Hussen Mostafa Adam M, Ibrahim B Matern Health Neonatol Perinatol. 2021; 7(1):14.

PMID: 34526138 PMC: 8442340. DOI: 10.1186/s40748-021-00134-6.

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