Neonatal Hypothermia and Associated Factors Among New Born Admitted to Neonatal Intensive Care Unit of Governmental Hospitals in Addis Ababa, Ethiopia, 2016

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Addis Ababa University


Introduction: Neonatal hypothermia is a worldwide problem and an important contributing factor to neonatal morbidity and mortality especially in low and middle income countries. High prevalence of hypothermia has been reported from countries with the highest burden of neonatal mortality. Over 1.1 million neonatal deaths occur in sub-Saharan Africa and hypothermia is one of the contributing factors for this mortality; therefore, improving newborn survival through appropriate thermal care is a major priority in child health today. Objective: To assess the prevalence of Neonatal hypothermia and associated factors among new born admitted to NICU of governmental hospitals in Addis Ababa, 2016. Methods and materials: An institutional based cross sectional study was conducted from March 30 to April 30, 2016. A total of 356 Neonates with their mother was selected by systematic random sampling technique and Axillary temperate of the new born was measured by digital thermometer at point of admission. Data was cleaned manually, coded and entered into Epi -info version 3.5 and exported to SPSS version 20 software for analysis. Multiple logistic regression, AOR, 95% CI and p-value<0.05 was used to identify Variables which had significant association. Result: The prevalence of Neonatal hypothermia in the study area was found to be 64%. Preterm delivery (AOR= 4.81, 95%CI: 2.67, 8.64), age of neonate ≤ 24 hour old (AOR= 2.26, 95%CI: 1.27, 4.03), no skin to skin contact to their mother immediately after delivery (AOR= 4.39, 95%CI: 2.38, 8.11), delayed initiation of breast feeding within one hour after birth (AOR= 3.72, 95%CI: 2.07, 6.65) and resuscitation at birth (AOR= 3.65, 95%CI: 1.52, 8.78) were significantly associated with hypothermia. Conclusion and recommendation: The prevalence of Neonatal hypothermia in the study area was high. Preterm delivery, age ≤ 24 hour old, no skin to skin contact, delayed initiation of breast feeding and resuscitation at birth were independent predictors of neonatal hypothermia. Therefore Attention is needed for thermal care of preterm new born and it is recommended to use low-cost newborn thermal protection principles of warm chain especially on early initiation of breast feeding, skin to skin contact and warm resuscitation. Key words: Hypothermia, new born, NICU



Hypothermia, New born, NICU