FREQUENCY OF HYPOTHERMIA AND FACTORS DURING TRANSFER OF NEWBORN BABY FROM DELIVERY ROOM TO NEONATAL NURSERY
Main Article Content
Keywords
Hypothermia, Newborn, frequency
Abstract
Background:
The neonatal period, which lasts from birth to 28 days, is known as the newborn baby or neonate stage. After delivery, the infant experiences a number of changes and must adapt to numerous physiological mechanisms in order to survive. Because there is less body fat in a newborn after birth, the baby's body temperature might drop quickly. Shivering and non-shivering thermo genesis allowed newborns to maintain their body temperature under the supervision of the brain and endocrine pathways. Hypothermia has been established as a substantial contributor to neonatal death because it frequently occurs as a co-morbidity with other infant causes
Objective: To inquire the frequency of occurrence of Neonatal hypothermia during transfer of baby from delivery room to neonate nursery.
Methodology: A cross sectional analytical study was conducted at one public and one private tertiary care hospitals of Multan, Punjab. The Study population consisted of the newborn babies born at the selected hospitals. A stratified random sample of n=200 participants was recruited. All participants were assessed with the help of an observational checklist. A written consent was implied to parents of every participant. After data collection it was entered and analyzed in SPSS version- 21.
Results: Findings revealed that majority of newborns 100 (50%) had temperatures in the range of 97.9 - 98.9°F at birth, and very few 3 (1.5%0 had temperature 96.9 - 97.8°F at birth. Temperature 10 minutes after Birth was also observed where majority 160 (80%) had temperature 97.9 - 98.9°F while 32 (16%) had temperature 99 - 100°F 10 minutes after birth. Moreover, temperature 10 minutes before Nursery shifting was assessed where a good majority 161 (80.5%) had temperature 97.9 - 98.9°F, 22 (11%) had temperature 96.9 - 97.8°F and very few 17 (8.5%) had temperature 99 - 100°F. The majority of newborns had temperatures in the range of 97.9 - 98.9°F both at birth (50%) and 10 minutes after birth (80%). The distribution of temperatures 10 minutes before nursery shifting is similar to that after birth, with the majority falling in the 97.9 - 98.9°F range.
Conclusion: The percentage distribution indicates that a significant portion of newborns had temperatures within the normal physiological range.
References
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28. Hameed, A. (2021). Seed treatment with α-tocopherol regulates growth and key physiobiochemical attributes in carrot (Daucus carota L.) plants under water limited regimes. Agronomy, 11(3): p. 469.
29. Huang, Y. (2021). ABTS as an electron shuttle to accelerate the degradation of diclofenac with horseradish peroxidase-catalyzed hydrogen peroxide oxidation. Science of The Total Environment, 798: p. 149276.
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31. Kunwar, A., K. Priyadarsini. (2011). Free radicals, oxidative stress and importance of antioxidants in human health. Journal of Medical & Allied Sciences, 2011. 1(2).
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35. Minich, D.M. (2019). A review of the science of colorful, plant-based food and practical strategies for eating the rainbow. Journal of Nutrition and Metabolism, 2019.
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41. Shakya, A.K. (2016). Medicinal plants: Future source of new drugs. International Journal of Medicine, 4(4): p. 59-64.
42. Shahid, M., Ishrat Naureen., Muhammad Riaz., Fozia Anjum., Hina Fatima., M. Asif Rafiq. (2021). Biofilm inhibition and antibacterial potential of different varieties of Garlic (Allium sativum) against sinusitis isolates. Dose response.
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45. Sharma, U., Sharma, A. K. (2011). Antioxidant potential of costus root (Saussurea lappa) in vitro and ex vivo: a dose-respond study. Journal of Functional Foods, 3(1), 40-47.
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47. Vishwakarma, S., Chandan, K., Jeba, R.C., Khushbu, S. (2014). Comparative study of qualitative phytochemical screening and antioxidant activity of Mentha arvensis, Elettaria cardamomum and Allium porrum. Indo. Am. J. Phram. 4, 2538–2556.
48. Wali, A. F., Islam, M., Rather, A. M., & Hassan, Q. P. (2018). In vitro evaluation of antimicrobial potential of Saussurea lappa, a critically endangered medicinal plant of Kashmir Himalaya. Journal of Applied Pharmaceutical Science, 8(8), 92-97.
49. Yadav, R., Khare, R., Singhal, A. (2017). Qualitative phytochemical screening of some selected medicinal plants of shivpuri district (mp). Int. J. Life. Sci. Res. 3, 844–847.
50. Yadav, R.N.S., Agarwala, M. (2011). Phytochemical analysis of some medicinal plants. J. Phytol. 3 (12), 10–14.
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2. Ahmed, N. S. O. M., & Al-Gamar, E. A. J. S. J. o. P. (2022). Mother’s knowledge and attitude regarding recognition of neonatal signs of danger. 22(1), 27.
3. Akimana, M. T. (2017). Mothers awareness and attitudes on the care of their preterm infant at discharge from a neonatal intensive care unit in a selected referral hospital in the north province of Rwanda. University of Rwanda,
4. Alebachew Bayih, W., Assefa, N., Dheresa, M., Minuye, B., & Demis, S. (2019a). Neonatal hypothermia and associated factors within six hours of delivery in eastern part of Ethiopia: a cross-sectional study. BMC pediatrics, 19(1), 1-10.
5. Alebachew Bayih, W., Assefa, N., Dheresa, M., Minuye, B., & Demis, S. J. B. p. (2019b). Neonatal hypothermia and associated factors within six hours of delivery in eastern part of Ethiopia: a cross-sectional study. 19(1), 1-10.
6. Beletew, B., Mengesha, A., Wudu, M., & Abate, M. J. B. p. (2020). Prevalence of neonatal hypothermia and its associated factors in East Africa: a systematic review and meta-analysis. 20(1), 1-14.
7. Boundy, E. O., Dastjerdi, R., Spiegelman, D., Fawzi, W. W., Missmer, S. A., Lieberman, E., . . . Chan, G. J. J. P. (2016). Kangaroo mother care and neonatal outcomes: a meta-analysis. 137(1).
8. Bourguignon, J.-P., Parent, A.-S., Kleinjans, J. C., Nawrot, T. S., Schoeters, G., & Van Larebeke, N. (2018). Rationale for Environmental Hygiene towards global protection of fetuses and young children from adverse lifestyle factors. Environmental Health, 17, 1-11.
9. Brambilla Pisoni, G., Gaulis, C., Suter, S., Rochat, M. A., Makohliso, S., Roth-Kleiner, M., . . . Schönenberger, K. (2022). Ending neonatal deaths from hypothermia in sub-saharan Africa: call for essential technologies tailored to the context. Frontiers in Public Health, 10, 851739.
10. Dang, R., Patel, A. I., Weng, Y., Schroeder, A. R., Lee, H. C., Aby, J., & Frymoyer, A. (2023). Incidence of Neonatal Hypothermia in the Newborn Nursery and Associated Factors. JAMA Network Open, 6(8), e2331011-e2331011.
11. Gedefaw, G., Alemnew, B., & Demis, A. J. B. p. (2020). Adverse fetal outcomes and its associated factors in Ethiopia: a systematic review and meta-analysis. 20(1), 1-12.
12. Getaneh, F. B., Misganaw, N. M., Mihretie, D. B., & Bitew, Z. W. J. I. J. o. P. (2022). Admission Hypothermia and Factors Associated with Mortality among Admitted Hypothermic Preterm Neonates in Neonatal Intensive Care Units of Public Hospitals of Addis Ababa, Ethiopia. 2022.
13. Kc, A., Jha, A. K., Shrestha, M. P., Zhou, H., Gurung, A., Thapa, J., & Budhathoki, S. S. (2020). Trends for neonatal deaths in Nepal (2001–2016) to project progress towards the SDG target in 2030, and risk factor analyses to focus action. Maternal and child health journal, 24, 5-14.
14. Lawn, J. E., Bhutta, Z. A., Ezeaka, C., & Saugstad, O. (2023). Ending Preventable Neonatal Deaths: Multicountry Evidence to Inform Accelerated Progress to the Sustainable Development Goal by 2030. Neonatology, 120(4), 491-499.
15. Manik, R. K., Dubey, S., & Joshi, A. (2023). The Effect of Possible Yogic Practices in Management of Pregnancy Induced Hypertension. Journal of Survey in Fisheries Sciences, 10(1S), 4237-4246.
16. Mank, A., van Zanten, H. A., Meyer, M. P., Pauws, S., Lopriore, E., & Te Pas, A. B. J. P. o. (2016). Hypothermia in preterm infants in the first hours after birth: occurrence, course and risk factors. 11(11), e0164817.
17. Mukunya, D., Tumwine, J. K., Nankabirwa, V., Odongkara, B., Tongun, J. B., Arach, A. A., . . . Achora, V. J. B. o. (2021). Neonatal hypothermia in Northern Uganda: a community-based cross-sectional study. 11(2), e041723.
18. Nyandiko, W. M., Kiptoon, P., & Lubuya, F. A. (2021). Neonatal hypothermia and adherence to World Health Organisation thermal care guidelines among newborns at Moi Teaching and Referral Hospital, Kenya. PloS one, 16(3), e0248838.
19. Paudel, P. G., Sunny, A. K., Gurung, R., Gurung, A., Malla, H., Budhathoki, S. S., . . . Ashish, K. (2020). Prevalence, risk factors and consequences of newborns born small for gestational age: a multisite study in Nepal. BMJ Paediatrics Open, 4(1).
20. Sharma, I., & Singh, M. (2021). Infant Warmer Design with PID Control for Stability and Equal Temperature Distribution Equipped with Digital Scales for Prevention of Hypothermia in Newborns. International Journal of Advanced Health Science and Technology, 1(1), 7-13.
21. Soares, T., Pedroza, G. A., Breigeiron, M. K., & Cunha, M. L. C. d. (2019). Prevalence of hypothermia in the first hour of life of premature infants weighing≤ 1500g. Revista Gaúcha de Enfermagem, 41.
22. Thakur, R., Sharma, R., Kumar, L., Pugazhendi, S. J. J. o. N., & Care. (2017). Neonatal danger signs: attitude and practice of post-natal mothers. 6(3), 2167-1168.1000401.
23. Ukke, G. G., & Diriba, K. J. P. o. (2019). Prevalence and factors associated with neonatal hypothermia on admission to neonatal intensive care units in Southwest Ethiopia–a cross-sectional study. 14(6), e0218020.
24. Vilinsky-Redmond, A. (2019). Dublin, for the Degree of Doctor in Philosophy.
25. Yitayew, Y. A., Aitaye, E. B., Lechissa, H. W., & Gebeyehu, L. O. (2020). 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, 2020.
26. Zelalem Ayichew, M., Derseh Gezie, L., Gelagay, A. A., & Anmut Bitew, D. (2022). Neonatal mortality and associated factors among neonates admitted to neonatal intensive care unit of Gandhi memorial hospital in Addis Ababa, Ethiopia, 2019. BMC pediatrics, 22(1), 1-9.
27. Getahun, S.A, Parry, C.M., Crump, J.A., Rosa, V., Jenney, A., Naidu, R. (2019) A retrospective study of patients with blood culture-confirmed typhoid fever in Fiji during 2014-2015: epidemiology, clinical features, treatment and outcome. Trans R Soc Trop Med Hyg (12):764- 770.
28. Hameed, A. (2021). Seed treatment with α-tocopherol regulates growth and key physiobiochemical attributes in carrot (Daucus carota L.) plants under water limited regimes. Agronomy, 11(3): p. 469.
29. Huang, Y. (2021). ABTS as an electron shuttle to accelerate the degradation of diclofenac with horseradish peroxidase-catalyzed hydrogen peroxide oxidation. Science of The Total Environment, 798: p. 149276.
30. John, V., Ashurst., Justina, T., Blair, W. (2022). Typhoid fever, National library of medicine, PMID: 300855446.
31. Kunwar, A., K. Priyadarsini. (2011). Free radicals, oxidative stress and importance of antioxidants in human health. Journal of Medical & Allied Sciences, 2011. 1(2).
32. Karagoz, A. (2015). In vitro evaluation of antioxidant activity of some plant methanol extracts. Biotechnology & Biotechnological Equipment; 29(6): p. 1184-1189.
33. Levy, S.B. (2013). The antibiotic paradox: how miracle drugs are destroying the miracle. 2013: Springer. Müller, L., K. Fröhlich., V, Böhm. (2011). Comparative antioxidant activities of carotenoids measured by ferric reducing antioxidant power (FRAP), ABTS bleaching assay (αTEAC), DPPH assay and peroxyl radical scavenging assay. Food Chemistry, 129(1): p.139- 148.
34. Mattioli, S. (2022). A Dynamic Model for Estimating the Interaction of ROS–PUFA– Antioxidants in Rabbit. Antioxidants,11(3): p. 531.
35. Minich, D.M. (2019). A review of the science of colorful, plant-based food and practical strategies for eating the rainbow. Journal of Nutrition and Metabolism, 2019.
36. Nageswara, R., Satyanarayana, S., Suresh, B. (2013). HPLC determination of costunolide as a marker of seussurea lappa and its herbel formulations. International journal of research in pharmacy and chemistry, 3(1): p. 2231-2781.
37. Rates, S. M. K. (2001). Plants as source of drugs. Toxicon, 39(5): p. 603-613.
38. Rauf, A., Jan, M.R., Rehman, W.U., Muhammad, N., 2013. Phytochemical, phytotoxic and ntioxidant profile of Caralluma tuberculata NE Brown. Wudpecker. J. Pharm. Pharmacol. 2 (2), 21–25.
39. Rao S.A., Kelkar, G.R., and Bhattacharya, S.C. (1959). The structure of costunolide, a new sesquiterpene lactone from costus root oil. Tetrahedron letters, 9:275-283.
40. Roopalatha, U.C., Nair, V.M.G., 2013. Phytochemical analysis of successive reextracts of the leaves of Moringa oleifera Lam. Int. J. Pharm. Pharm. Sci. 5, 629–634.
41. Shakya, A.K. (2016). Medicinal plants: Future source of new drugs. International Journal of Medicine, 4(4): p. 59-64.
42. Shahid, M., Ishrat Naureen., Muhammad Riaz., Fozia Anjum., Hina Fatima., M. Asif Rafiq. (2021). Biofilm inhibition and antibacterial potential of different varieties of Garlic (Allium sativum) against sinusitis isolates. Dose response.
43. Sharma, U., Kumar, N., Singh, B., & Vashishta, B. B. (2010). Antioxidant activity of some Indian medicinal plants. African Journal of Biotechnology, 9(37), 5986-5997.
44. Sevindik, M. (2018). Investigation of oxidant and antioxidant status of edible mushroom Clavariadelphus truncatus. Mantar Dergisi, 9(2): p. 165-168.
45. Sharma, U., Sharma, A. K. (2011). Antioxidant potential of costus root (Saussurea lappa) in vitro and ex vivo: a dose-respond study. Journal of Functional Foods, 3(1), 40-47.
46. Tacconelli, E. (2018). Discovery, research, and development of new antibiotics: the WHO priority list of antibiotic-resistant bacteria and tuberculosis. The Lancet Infectious Diseases,18(3): p. 318-327.
47. Vishwakarma, S., Chandan, K., Jeba, R.C., Khushbu, S. (2014). Comparative study of qualitative phytochemical screening and antioxidant activity of Mentha arvensis, Elettaria cardamomum and Allium porrum. Indo. Am. J. Phram. 4, 2538–2556.
48. Wali, A. F., Islam, M., Rather, A. M., & Hassan, Q. P. (2018). In vitro evaluation of antimicrobial potential of Saussurea lappa, a critically endangered medicinal plant of Kashmir Himalaya. Journal of Applied Pharmaceutical Science, 8(8), 92-97.
49. Yadav, R., Khare, R., Singhal, A. (2017). Qualitative phytochemical screening of some selected medicinal plants of shivpuri district (mp). Int. J. Life. Sci. Res. 3, 844–847.
50. Yadav, R.N.S., Agarwala, M. (2011). Phytochemical analysis of some medicinal plants. J. Phytol. 3 (12), 10–14.
51. Yildiz, S. (2021). Antioxidant properties of thymol, carvacrol, and thymoquinone and its efficiencies on the stabilization of refined and stripped corn oils. Journal of Food Measurement and Characterization, 15(1): p. 621-632.
52. Zamanlu, M. (2018). Spectrophotometric analysis of thrombolytic activity: SATA assay. BioImpacts: BI, 8(1): p. 31.
53. Zoe, A. Dyson, Elizabeth J., Klemm, Sophie P. (2019). Antibiotic Resistance and Typhoid, Clinical Infectious Diseases, 68p;165–70.
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Dec 26, 2023
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Qamar Un Nisa, & Madiha Mukhtar. (2023). FREQUENCY OF HYPOTHERMIA AND FACTORS DURING TRANSFER OF NEWBORN BABY FROM DELIVERY ROOM TO NEONATAL NURSERY. Journal of Population Therapeutics and Clinical Pharmacology, 30(19), 1242–1251. https://doi.org/10.53555/jptcp.v30i19.3823
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Author Biographies
Qamar Un Nisa
MSN Student, Lahore School of Nursing, The University of Lahore - Pakistan
Madiha Mukhtar
Assistant Professor, Lahore School of Nursing, The University of Lahore - Pakistan