Introduction of community-based skin-to-skin care in rural Uttar Pradesh, India

Darmstadt, Gary L.; Kumar, Vishwajeet; Yadav, Rajesh; Singh, Vivek; Singh, Pramod Kumar; Mohanty, S.; Baqui, Abdullah H; bharti, None Neelam Rao; Gupta, SK; Misra, R; Awasthi, Sanjay; Singh, Jai Vir; Santosham, Mathuram

doi:10.1038/sj.jp.7211569

Cited by 115 publications

(95 citation statements)

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“…Seasonal hypothermia rates were not significantly different for LBW compared with normal weight infants in warmer months, but significant differences were found during the colder months. 3 Bang et al 8 reported similar variations from central India (21.5% incidence in the winter versus 13.8% in summer using a definition of hypothermia as <35 1C). In the northern Indian state of Haryana, newborns born at home had an incidence of hypothermia of 19.1% in the winter months, but only 3.1% in the summer.…”

Section: Pathophysiology Of Neonatal Hypothermiamentioning

confidence: 83%

“…3,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Uniform adoption and application of the standard WHO definition is fundamental to coordinated advancements in detection and management, but hypothermia continues to be variably defined, leading to under-recognition and under-reporting, and inadvertent denial of care to those who are misclassified but in need of care.…”

Section: Definitionmentioning

confidence: 99%

“…In the first data of its kind, the study also found that among hypothermic newborns, 42% of their mothers had a lower temperature, emphasizing the overwhelming nature of the cold ambient temperature and lack of resources available to combat the cold. 3 In Gadchiroli, India, body temperatures were recorded in the home throughout the neonatal period, and 80% of hypothermia cases (axillary temperature <35 1C) occurred on the first day. 8 Among infants who are diagnosed with hypothermia in the days or weeks following birth, their hypothermia is often secondary, that is, a symptom of sepsis or other infection.…”

Section: Pathophysiology Of Neonatal Hypothermiamentioning

confidence: 99%

“…1,2 Moreover, progress toward thermal care of newborns in developed countries has far outstripped knowledge and practice in developing country settings, where 99% of global neonatal deaths occur. 3,4 Hypothermia during the newborn period is widely regarded as a major contributory cause of significant morbidity in developing countries and, at its extreme, mortality. 5 High prevalence of hypothermia has been reported from countries with the highest burden of neonatal mortality, where hypothermia is increasingly gaining attention and significance as a critical intervention for newborn survival.…”

Section: Introductionmentioning

confidence: 99%

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Neonatal hypothermia in low resource settings: a review

et al. 2009

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Background: Hypothermia 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.Objective: This review aims to provide a thorough patho-physioepidemiological discussion of neonatal hypothermia applied to local risk factors within the developing country context with particular emphasis on prevention, recognition and management.Method: All 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. Keywords: hypothermia; skin-to-skin care; warm chain; community; newborn; neonatal health Introduction 'If a definition of life were required, it must be most clearly on that capacity, by which the animal preserves its proper heat under the various degrees of temperature of the medium in which it livesy a few degrees of increase or diminution of the heat of the system, produces disease and death' said James Currie some two centuries ago, recognizing the central importance of temperature regulation in health. 1 Although folklore associated with increased temperature or fever has been recorded throughout history across virtually every culture and civilization, a recognition of hypothermia and its clinical significance, particularly for newborn health is a relatively recent advance. 1,2 Moreover, progress toward thermal care of newborns in developed countries has far outstripped knowledge and practice in developing country settings, where 99% of global neonatal deaths occur. 3,4 Hypothermia during the newborn period is widely regarded as a...

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Section: Pathophysiology Of Neonatal Hypothermiamentioning

confidence: 83%

Section: Definitionmentioning

confidence: 99%

Section: Pathophysiology Of Neonatal Hypothermiamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Neonatal hypothermia in low resource settings: a review

et al. 2009

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“…1 As noted in the article, we examined the process of introducing skin to skin care (STSC) into a low-resource community with poor access to health care, and found that within a year of implementation, acceptance rates reached and have remained over 90%. For this reason, we suggested that acceptance…”

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confidence: 99%