Evidence map›Paper›PMID 41062980›Full record

ArticleBMC pediatrics2025

Prevalence and factors associated with neonatal hypothermia: a cross-sectional study among healthy term neonates in a peri-urban hospital in Northern Uganda.

Mary Grace Akao, Gorrette Nalwadda, Joshua Epuitai, Elizabeth Ayebare, Grace Ndeezi, Dricile Ratib, James K Tumwine

Abstract read
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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Mary Grace AkaoDepartment of Nursing and Midwifery, Faculty of Health Sciences, Muni University, Arua City, Uganda. akaomg223@gmail.com.
Gorrette NalwaddaDepartment of Nursing, College of Health Sciences, Makerere University, Kampala, Uganda.
Joshua EpuitaiDepartment of Nursing, Faculty of Health Sciences, Busitema University, Busitema, Uganda.
Elizabeth AyebareDepartment of Nursing, College of Health Sciences, Makerere University, Kampala, Uganda.
Grace NdeeziDepartment of Paediatrics, and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Dricile RatibDepartment of Nursing and Midwifery, Faculty of Health Sciences, Muni University, Arua City, Uganda.
James K TumwineDepartment of Paediatrics, and Child Health, School of Medicine, Kabale University, Kabale City, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal hypothermia is highly prevalent even in warm tropical countries. Neonatal hypothermia increases the risk of morbidity and mortality. In Uganda, the prevalence of hypothermia is not known among healthy term neonates.

objectiveTo determine the prevalence of neonatal hypothermia and the associated factors in Lira Regional Referral Hospital.

methodsHospital-based cross-sectional study was conducted in Northern Uganda. The interviewer-administered questionnaires and direct observations used to determine the initiation of warm-chain practices after delivery for 271 newborns. The axillary temperature of neonates was measured at intervals of 10 min, 30 min, one hour, and 2 h after birth. The multivariate binary logistic regression was done. The 95% confidence interval (CI) and p-value < 0.05 used to identify factors significantly associated with neonatal hypothermia.

resultsNeonatal hypothermia was 67.6% during the first two hours postnatal. Neonatal hypothermia was 64.5% at 10 min, 81% at 30 min, 76% at one hour and 49% at two hours postnatal. Hypothermia was significantly associated with low birth weight (Adjusted odds ratio (AOR) = 2.78; 95% CI: 1.01–7.62); male sex (AOR = 1.69; 95% CI: 1.04–3.33), not drying the newborn (AOR = 3.06, 95% CI: 1.64–5.72); no skin to skin contact within five minutes postnatal (AOR = 2.17, 95% CI: 1.15–4.10); and low maternal body temperature (AOR = 2.70, 95% CI: 1.49–4.76).

conclusionsThe prevalence of neonatal hypothermia was high in the first two hours. Neonates who were more likely to have hypothermia were male, not dried properly, low birth weight, no skin-to-skin contacts, and low maternal body temperature. Proper drying of the newborn and skin-to-skin contact can reduce the burden of neonatal hypothermia. There is a need to train the midwives on proper drying of the newborn, keeping the mother warm, and the importance of skin-to-skin contact in prevention of neonatal hypothermia among male and low birth neonates.

Indexed as

HypothermiaCross-Sectional StudiesFemaleHospitals, UrbanHumansInfant, Low Birth WeightInfant, NewbornLogistic ModelsMalePrevalenceRisk FactorsThermal ComfortUgandaNeonatal hypothermiaNeonatesSkin to skin contactWarm chain practices

Identifiers

PMID41062980
PMCPMC12506413

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LicenceCC BY-NC-ND
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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.