Tomlin Brandon, Lamichhane Bibec, Dhungana Ranjan, Richards Grace, Grubb Peter, Mahato Anamika, Fassl Bernhard, Judkins Allison
University of Utah, Salt Lake City, UT, USA.
Global Envirotech Initiative Asia, Kathmandu, Nepal.
Glob Pediatr Health. 2024 Oct 17;11:2333794X241273300. doi: 10.1177/2333794X241273300. eCollection 2024.
. Neonatal hypothermia is a worldwide health burden with an incidence ranging from 32% to 85% in hospitals and 11% to 92% in homebirths. It is prevalent in Nepal and associated with increased morbidity and mortality. The study objective was to identify key practice standards of newborn thermal management in Nepal. . Our subjects included 6 lead newborn physicians from major birthing centers in Kathmandu. A modified Delphi process was used to identify the top 5 key practice standards for newborn thermoregulation in the hospital, health post, and home, compiled from 14 World Health Organization recommended practices. . There was consensus in all ranked practices except using radiant heat sources in the hospital and performing Kangaroo Mother Care in the homebirths. Comments conveyed that interventions during the immediate delivery phase were most impactful and feasible. . Nepali physicians prioritized thermoregulatory practices during the immediate resuscitation period over the post-resuscitation period.
新生儿低体温是一个全球性的健康负担，在医院的发生率为32%至85%，在家中分娩的发生率为11%至92%。它在尼泊尔很普遍，并与发病率和死亡率的增加有关。该研究的目的是确定尼泊尔新生儿体温管理的关键实践标准。
我们的研究对象包括来自加德满都主要分娩中心的6名新生儿科主任医师。采用改良的德尔菲法，从世界卫生组织推荐的14项实践中，确定医院、卫生站和家中新生儿体温调节的前5项关键实践标准。
除了在医院使用辐射热源和在家中分娩时进行袋鼠式护理外，所有排名的实践都达成了共识。评论指出，分娩即刻阶段的干预措施最具影响力且可行。
尼泊尔医生将复苏即刻阶段的体温调节实践置于复苏后阶段之上。
