ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Reducing rates of neonatal hypothermia at birth in Tanzania: a quality improvement initiative.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. 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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9 authors.
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Abstract
objectiveThe SMART aim was to reduce the rate of neonatal hypothermia by 50% and increase neonatal delivery room (DR) temperature by 0.6 °C. To explore the relationship between hypothermia reduction and early neonatal mortality <7 days. STUDY
designProspective QI study using the Model for Improvement through three Plan-Do-Study-Act cycles (PDSA) in neonates <2000g.
interventions1. Hypothermia Prevention Care Bundle, 2. In-Person In-Service Training and 3. Audit Implementation.
resultsAt baseline, mean DR neonatal temperature of 35.9 ± 0.24 °C and rates of overall hypothermia of 99% [66% mild (36-36.4 °C), 33% moderate (32-35.9 °C)] were noted. From the first PDSA cycle, there were centerline (CL) shifts in mean temperature to 36.8 °C and incidence of hypothermia to 5.7% (5.7% mild, 0% moderate). Early mortality rates remained unchanged (CL 12.3%).
conclusionHypothermia was almost eliminated in the DR. Because the overall neonatal mortality was unchanged there is insufficient evidence to support a causal relationship between hypothermia and early mortality.
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Registered trials
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