ReviewJournal of perinatology : official journal of the California Perinatal Association2009
Neonatal hypothermia in low resource settings: a review.
Review in Journal of perinatology : official journal of the California Perinatal Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 98 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Peri-operative Active Warming Versus no Peri-operative Active Warming During Caesarean Section for Preventing Neonatal Hypothermia in Women Performing Skin-to-skin Care: A Randomized Controlled Trial
Efficacy of a Low-cost Warming Mattress Celsi Warmer for the Management of Hypothermic Newborns
Efficacy of Low-cost Warming Mattress Celsi Warmer for the Management of Hypothermic Newborns at the Lagos University Teaching Hospital in Lagos, Nigeria
Who cites it
98 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Prevalence of neonatal hypothermia and its associated factors in East Africa: a systematic review and meta-analysis.BMC pediatrics · 2020Pooled it
- Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants.The Cochrane database of systematic reviews · 2018Pooled it
- The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival.BMC medicine · 2013Pooled it
- Therapeutic hypothermia for neonatal encephalopathy in low- and middle-income countries: a systematic review and meta-analysis.PloS one · 2013Pooled it
- Impact of hypothermia alert device (BEMPU) on improvement of duration of Kangaroo Mother Care (KMC) provided at home: parallel-group randomized control trial.Scientific reports · 2023Trial
- Trial
- Embrace versus Cloth Wrap in preventing neonatal hypothermia during transport: a randomized trial.Journal of perinatology : official journal of the California Perinatal Association · 2021Trial
- Using polyethylene plastic bag to prevent moderate hypothermia during transport in very low birth weight infants: a randomized trial.Journal of perinatology : official journal of the California Perinatal Association · 2018Trial
- Sex differences in morbidity and care-seeking during the neonatal period in rural southern Nepal.Journal of health, population, and nutrition · 2015Trial
- Trial
- Thermal care for newborn babies in rural southern Tanzania: a mixed-method study of barriers, facilitators and potential for behaviour change.BMC pregnancy and childbirth · 2014Trial
- Effect of early skin-to-skin contact following normal delivery on incidence of hypothermia in neonates more than 1800 g: randomized control trial.Journal of perinatology : official journal of the California Perinatal Association · 2014Trial
- Is essential newborn care provided by institutions and after home births? Analysis of prospective data from community trials in rural South Asia.BMC pregnancy and childbirth · 2014Trial
- Plastic bags for prevention of hypothermia in preterm and low birth weight infants.Pediatrics · 2013Trial
- The equity impact of participatory women's groups to reduce neonatal mortality in India: secondary analysis of a cluster-randomised trial.International journal of epidemiology · 2013Trial
- Effect of training traditional birth attendants on neonatal mortality (Lufwanyama Neonatal Survival Project): randomised controlled study.BMJ (Clinical research ed.) · 2011Trial
- Patterns of preterm admission, morbidity, and mortality in a tribal-district neonatal intensive care unit: A retrospective cohort study.World journal of clinical pediatrics · 2026Article
- Article
- Shared Frailty Survival Analysis of Neonatal Hypothermia and Its Predictors Among Neonates Admitted to the Neonatal Intensive Care Unit at Pawe General Hospital.Health science reports · 2026Article
- Prevalence and Factors Associated with Neonatal Hypothermia in Sub-Saharan Africa: Systematic Review and Meta-Analysis.Journal of clinical medicine · 2026Review
38 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypothermia is increasingly recognized as a major cause of neonatal morbidity and mortality in resource poor settings. High prevalence of hypothermia has been reported widely from warmer high mortality regions of Africa and South Asia. The World Health Organization recognizes newborn thermal care as a critical and essential component of essential newborn care; however, hypothermia continues to remain under-documented, under-recognized and under-managed.
objectiveThis review aims to provide a thorough patho-physio-epidemiological discussion of neonatal hypothermia applied to local risk factors within the developing country context with particular emphasis on prevention, recognition and management.
methodAll available published literature on neonatal hypothermia relevant to resource poor settings were reviewed. Studies from the developing country settings were primarily reviewed for epidemiology, domiciliary risk factors as well as potential interventions for thermal care. RESULT AND DISCUSSION: Functional integrity and efficiency of biological systems is critically dependent on an optimal and very narrow range of core body temperature. Risk factors for neonatal hypothermia differ markedly within low resource settings. A combination of physiological, behavioral and environmental factors universally put all newborns, irrespective of birth weight, at risk of hypothermia. The knowledge deficit along the continuum from health providers to primary care givers has sustained the silent epidemic of hypothermia. The challenges of recognition, understanding of local risk factors and communication have meant a lack of informed thermal care for newborns. Simple, feasible interventions exist, but need to be applied, based on local risk factors that disrupt the warm chain. Further research is needed to document local risk factors, develop better techniques for recognition, evaluation of thermal care within essential newborn care and communication strategies for program effectiveness.
Indexed as
Identifiers
19158799What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.