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Title: Performance of a Nonelectric Infant Warmer in Rwandan Health Centers

Journal Article · · Global Pediatric Health
 [1];  [2];  [2];  [2];  [3];  [4];  [2];  [5];  [2]; ORCiD logo [6]
  1. Boston Children’s Hospital, MA (United States); Children's Hospital of Colorado, Aurora, CO (United States)
  2. Inshuti Mu Buzima, Kigali (Rwanda)
  3. Yale Univ., New Haven, CT (United States)
  4. Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
  5. Boston Children’s Hospital, MA (United States)
  6. Boston Children’s Hospital, MA (United States); Harvard Medical School, Boston, MA (United States)
+ Show Author Affiliations

Background: Neonatal hypothermia remains a challenge in resource-limited settings. Methods. We conducted a prospective mixed-methods cohort study in rural Rwandan health centers to assess the performance of an infant warmer we designed for low-resource settings. All hypothermic infants were eligible for enrollment. Outcomes. Safety: incidence of adverse reactions. Effectiveness: attainment of euthermia, rate of temperature rise. Feasibility: correct use of warmer, signs of wear. Interviews of caregivers and nurses. Findings. Of 102 encounters, there were no adverse reactions. Of 80 encounters for hypothermia when infants on warmer for ≥1 hour, 79 achieved euthermia; 73 in ≤2 hours. Of the 80 encounters, 64 had temperature rise ≥0.5°C/h. Of the 102 encounters, there were no instances of the warmer being prepared, used, or cleaned incorrectly. Five out of the 12 warmers exhibited wear. Interview participants were predominantly positive; some found time for readiness of warmer challenging. Interpretation. The warmer performed well. It is appropriate to study in larger scale.

Research Organization:
Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
Sponsoring Organization:
USDOE Office of Energy Efficiency and Renewable Energy (EERE); Harvard Medical School
Grant/Contract Number:
AC02-05CH11231
OSTI ID:
1619112
Journal Information:
Global Pediatric Health, Journal Name: Global Pediatric Health Vol. 6; ISSN 2333-794X
Publisher:
SAGECopyright Statement
Country of Publication:
United States
Language:
English

References (28)

Kangaroo mother care to reduce morbidity and mortality in low birthweight infants journal August 2016
Interventions to prevent hypothermia at birth in preterm and/or low birthweight infants journal March 2010
Maintaining normothermia: Why and how? journal October 2018
Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000 journal June 2012
Neonatal hypothermia in low resource settings: a review journal January 2009
Community Kangaroo Mother Care: implementation and potential for neonatal survival and health in very low-income settings journal February 2011
Thermal protection of the newborn in resource-limited environments journal March 2012
Adaptation of Kangaroo Mother Care for Community-Based Application journal November 2003
Feasibility, acceptability and cost of kangaroo mother care in Recife, Brazil journal March 2000
Clinician Perspectives on Barriers to and Opportunities for Skin-to-Skin Contact for Premature Infants in Neonatal Intensive Care Units journal April 2012
Barriers and enablers of kangaroo mother care implementation from a health systems perspective: a systematic review journal August 2017
Early Skin‐To‐Skin Contact for Mothers and Their Healthy Newborn Infants journal June 2013
Critical dependence of acetate thermal mattress on gel activation temperature journal January 2007
Keeping babies warm: a non-inferiority trial of a conductive thermal mattress journal March 2015
Kangaroo mother care for the prevention of neonatal hypothermia: a randomised controlled trial in term neonates journal February 2018
Usage of EMBRACE TM in Gujarat, India: Survey of Paediatricians journal January 2014
The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival journal January 2013
Kangaroo mother care: using formative research to design an acceptable community intervention journal March 2018
Barriers and Enablers of Kangaroo Mother Care Practice: A Systematic Review journal May 2015
Admission Temperature of Low Birth Weight Infants: Predictors and Associated Morbidities journal February 2007
Community-Based Kangaroo Mother Care to Prevent Neonatal and Infant Mortality: A Randomized, Controlled Cluster Trial journal May 2008
Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis journal December 2015
Thermal Effect of a Woolen Cap in Low Birth Weight Infants During Kangaroo Care journal May 2018
Kangaroo mother care: a systematic review of barriers and enablers journal December 2015
Balancing preterm infants’ developmental needs with parents’ readiness for skin-to-skin care: A phenomenological study journal January 2013
The implementation of kangaroo mother care and nurses' perspective of barriers in Iranian' NICUs journal January 2016
A low cost, re-usable electricity-free infant warmer: evaluation of safety, effectiveness and feasibility journal December 2018
Kangaroo mother care for clinically unstable neonates weighing ≤2000 g: Is it feasible at a hospital in Uganda? journal February 2018

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60 APPLIED LIFE SCIENCES
hypothermia
kangaroo mother care
newborn
non-electric warmer
resource-limited setting