Touch detection of neonatal hypothermia in Nepal

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Touch detection of neonatal hypothermia in Nepal.

The use of touch by health workers to detect hypothermia was examined in 250 newborns in Nepal. Palpation of the feet shows fair interobserver agreement (kappa = 0.4-0.7) and high sensitivity (>80%) but low specificity (36%-74%) compared with axillary thermometry. Traditional birth attendants should feel an infant's feet to detect hypothermia.

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Risk of mortality associated with neonatal hypothermia in southern Nepal.

OBJECTIVE To quantify the neonatal mortality/hypothermia relationship and develop evidence-based cutoffs for global definitions of neonatal hypothermia. DESIGN Cohort study. Field workers recorded neonatal axillary temperature at home and recorded vital status at 28 days. SETTING Rural Nepal. PARTICIPANTS Twenty-three thousand two hundred forty infants in Sarlahi, Nepal. MAIN EXPOSURE H...

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Neonatal hypothermia and associated risk factors among newborns of southern Nepal

BACKGROUND Neonatal hypothermia is associated with an increased mortality risk for 28 days. There are few community-based data on specific risk factors for neonatal hypothermia. Estimates of association between neonatal hypothermia in the community and risk factors are needed to guide the design of interventions to reduce exposure. METHODS A cohort of 23,240 babies in rural southern Nepal was...

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Therapeutic hypothermia in neonatal asphyxia

Hypoxic ischemic encephalopathy is a serious condition affecting newborn infants which can result in death and disability. There is now strong clinical evidence that moderate post-asphyxial total body cooling or hypothermia in full term neonates results in long-term neuroprotection, allowing us to proclaim this innovative therapy as "standard of care." The treatment is a time-critical emergency...

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Exploring Neonatal Touch

This paper reviews the literature on the positive and negative effects of touch on infants. The positive effects are mainly shown through massage literature while the negative effects are exemplified in studies on ‘care touch’. The discrepancies between both sides of the literature are then discussed and the paper concludes that massage touch is safe and beneficial. A discussion follows on how ...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood - Fetal and Neonatal Edition

سال: 2006

ISSN: 1359-2998,1468-2052

DOI: 10.1136/adc.2005.086165