ArticleArchives of pediatrics & adolescent medicine2010
Incidence and seasonality of hypothermia among newborns in southern Nepal.
Article in Archives of pediatrics & adolescent medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00109616 (Newborn Antiseptic Washing and Neonatal Mortality-Nepal), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
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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.
Newborn Antiseptic Washing and Neonatal Mortality-Nepal
Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Prevalence of neonatal hypothermia and its associated factors in East Africa: a systematic review and meta-analysis.BMC pediatrics · 2020Pooled it
- Estimates of possible severe bacterial infection in neonates in sub-Saharan Africa, south Asia, and Latin America for 2012: a systematic review and meta-analysis.The Lancet. Infectious diseases · 2014Pooled it
- The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival.BMC medicine · 2013Pooled it
- Trial
- 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
- Plastic bags for prevention of hypothermia in preterm and low birth weight infants.Pediatrics · 2013Trial
- Association of neonatal hypothermia with neonatal hypoglycemia.Frontiers in endocrinology · 2025Article
- Comparative study of neonatal hypothermia and associated factors among neonates in rural and urban areas of the Shebadino Woreda, Sidama region, Southern Ethiopia: a community-based comparative cross-sectional study.BMC public health · 2024Article
- Hypothermia amongst neonatal admissions in Kenya: a retrospective cohort study assessing prevalence, trends, associated factors, and its relationship with all-cause neonatal mortality.Frontiers in pediatrics · 2024Article
- Climate change impacts on the health of South Asian children and women subpopulations - A scoping review.Heliyon · 2022Article
- Assessment of neonatal thermal cares: Practices and beliefs among rural women in West Guji Zone, South Ethiopia: A cross-sectional study.PLOS global public health · 2022Article
- Hypothermia on admission to a neonatal intensive care unit in Oromia, western Ethiopia: a case-control study.BMJ paediatrics open · 2021Article
- Article
- Non-linear association between admission temperature and neonatal mortality in a low-resource setting.Scientific reports · 2020Article
- Neonatal Hypothermia and Associated Factors among Newborns Admitted in the Neonatal Intensive Care Unit of Dessie Referral Hospital, Amhara Region, Northeast Ethiopia.International journal of pediatrics · 2020Article
- Hypothermia in Preterm Newborns: Impact on Survival.Global pediatric health · 2020Article
- Neonatal hypothermia and associated factors among neonates admitted to neonatal intensive care unit of public hospitals in Addis Ababa, Ethiopia.BMC pediatrics · 2018Article
- Impact of hypothermia on implementation of CPAP for neonatal respiratory distress syndrome in a low-resource setting.PloS one · 2018Article
- Market mechanisms for newborn health in Nepal.BMC pregnancy and childbirth · 2017Review
- A New Look at Care in Pregnancy: Simple, Effective Interventions for Neglected Populations.PloS one · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo quantify incidence, age distribution, and seasonality of neonatal hypothermia among a large population cohort.
designLongitudinal cohort study.
settingSarlahi, Nepal.
participantsA total of 23 240 newborns born between September 2, 2002, and February 1, 2006. Main Exposures Community-based workers recorded axillary temperature on days 1 through 4, 6, 8, 10, 12, 14, 21, and 28 (213 636 total measurements).
main outcome measuresRegression smoothing was used to describe axillary temperature patterns during the newborn period. Hypothermia incidence in the first day, week, and month were estimated using standard cutoffs. Ambient temperatures allowed comparison of mild hypothermia (36.0 degrees C to <36.5 degrees C) and moderate or severe hypothermia (<36.0 degrees C) incidence over mean ambient temperature quintiles.
resultsMeasurements lower than 36.5 degrees C were observed in 21 459 babies (92.3%); half (48.6%) had moderate or severe hypothermia, and risk peaked in the first 24 to 72 hours of life. Risk of moderate or severe hypothermia increased by 41.3% (95% confidence interval, 40.0%-42.7%) for every 5 degrees C decrease in average ambient temperature. Relative to the highest quintile, risk was 4.03 (95% confidence interval, 3.77-4.30) times higher among babies exposed to the lowest quintile of average ambient temperature. In the hot season, one-fifth of the babies (18.2%) were observed below the moderate hypothermia cutoff.
conclusionsMild or moderate hypothermia was nearly universal, with substantially higher risk in the cold season. However, incidence in the hot season was also high; thus, year-round thermal care promotion is required. Research on community, household, and caretaker practices associated with hypothermia can guide behavioral interventions to reduce risk.
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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.