Determining Consensus Alignment and Barriers of Neonatal Thermal Management in Nepal Using a Modified Delphi Process

Overview

Journal Glob Pediatr Health

Specialty Pediatrics

Date 2024 Nov 1

PMID 39483615

Authors

Brandon Tomlin

Bibec Lamichhane

Ranjan Dhungana

Grace Richards

Peter Grubb

Anamika Mahato

Bernhard Fassl

Allison Judkins

Affiliations

Soon will be listed here.

Abstract

. Neonatal hypothermia is a worldwide health burden with an incidence ranging from 32% to 85% in hospitals and 11% to 92% in homebirths. It is prevalent in Nepal and associated with increased morbidity and mortality. The study objective was to identify key practice standards of newborn thermal management in Nepal. . Our subjects included 6 lead newborn physicians from major birthing centers in Kathmandu. A modified Delphi process was used to identify the top 5 key practice standards for newborn thermoregulation in the hospital, health post, and home, compiled from 14 World Health Organization recommended practices. . There was consensus in all ranked practices except using radiant heat sources in the hospital and performing Kangaroo Mother Care in the homebirths. Comments conveyed that interventions during the immediate delivery phase were most impactful and feasible. . Nepali physicians prioritized thermoregulatory practices during the immediate resuscitation period over the post-resuscitation period.

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