Work

Neonatal hypothermia and its determinants among neonates admitted to the neonatal intensive care unit in Ethiopia: A systematic review and meta-analysis

Year: 2024

Type: review

Study designs: Systematic Review, Meta-Analysis

Abstract: Neonatal hypothermia is a worldwide issue affecting newborns in both hospital and home settings. Numerous studies in Ethiopia have reported inconsistent findings on this condition. Our study aimed to determine the overall incidence of neonatal hypothermia among NICU admissions and identify the primary contributing factors. From January 24 to February 25, 2024, a systematic literature search was conducted using PubMed, HINARI, Global Health, Scopus, EMBASE, Web of Science, AJOL, and Google Scholar. Quality was assessed using the Joanna Briggs Institute's checklist for cross-sectional studies. Three reviewers (YAF, WCT, and AMZ) independently extracted data and reviewed articles. Heterogeneity was evaluated using Cochrane's Q test. A random effects model was used to estimate the pooled incidence of neonatal hypothermia among NICU admissions. After reviewing 2940 studies, we included 6 studies involving 2345 neonates admitted to NICUs in this review and meta-analysis. The pooled estimate of neonatal hypothermia among these neonates in Ethiopia was 60.96% (95% CI: 55.42, 66.51). Key factors associated with neonatal hypothermia included skin-to-skin contact (POR = 0.14; 95% CI: 0.1, 0.2), neonatal resuscitation (POR = 6.68; 95% CI: 3.59, 12.41), low birth weight (POR = 5.32; 95% CI: 3.75, 7.54), and delayed initiation of breastfeeding (POR = 0.16; 95% CI: 0.08, 0.3). According to this systematic review and meta-analysis, more than half of neonates developed hypothermia. In this study, there was a significant association between neonatal hypothermia among neonates and delayed initiation of breastfeeding, lack of skin-to-skin contact, low birth weight, and neonatal resuscitation. To reduce this problem, all concerned bodies should pay attention to this issue.

Source: Journal of Neonatal Nursing

DOI: 10.1016/j.jnn.2024.07.019

Authors: Yeshiwas Ayale Ferede, Worku Chekol Tassew, Agerie Mengistie Zeleke

Institution: University of Gondar

Language: English

Topic: Infant Development and Preterm Care

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,700