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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Midwifery care routines and prevention of heat loss in the newborn: a study in Zambia
Authors:Christensson, K.
Ransjö-Arvidson, A.B.
Kakoma, C.
Periodical:Journal of Tropical Pediatrics
Geographic term:Zambia
External link:http://tropej.oxfordjournals.org/cgi/content/abstract/34/5/208
Abstract:This study describes midwifery routines at institutional deliveries in Zambia as related to the practices needed to prevent heat loss in the normal neonate. The care of 62 newborns was observed following birth at four levels of institutions. At discharge after an average of 14 hours, half of the babies had a body temperature below 36 degrees Celsius, i.e. mildly hypothermic. There was a significant decrease in body temperature between 30 and 120 minutes postpartum. Proper wiping and wrapping of the babies was rarely carried out. Unnecessary separation of babies from their mothers and no extra provision of heat during suction at the resuscitation table were common. Among both mothers and staff there was a lack of understanding of the newborns' nonshivering thermogenesis. Traditional practices were often more appropriate than so-called modern. Midwifery education did not positively affect practices. With available resources it should be possible to limit neonatal heat loss. Ref.