Browsing by Author "Bergström, Anna"

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    Comparison of tympanic and rectal thermometry: Diagnosis of neonatal hypothermia in Uganda
    (Elsevier, 2004-01-01) Bergström, Anna; Byaruhanga, Romano; Okong, Pius
    Although newborn body temperature monitoring is not a routine occurrence in labour wards in Uganda, postnatal hypothermia is a significant problem. This study was undertaken to find a convenient and accurate method of measuring body temperature in order to assess the prevalence of neonatal hypothermia in a low-income tropical setting. Tympanic thermometry was compared to rectal thermometry in three hundred newborns up to 90 minutes after birth.
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    The Impact of Newborn Bathing on the Prevalence of Neonatal Hypothermia in Uganda: A Randomized, Controlled Trial
    (John Wiley & Sons, Inc., 2005-10-01) Bergström, Anna; Byaruhanga, Romano; Okong, Pius
    Aim: To elucidate the impact of bathing on the prevalence of hypothermia among newborn babies exposed to the skin‐to‐skin (STS) care technique before and after bathing. Methods: Non‐asphyxiated newborns after vaginal delivery (n=249) in a Ugandan referral hospital were consecutively enrolled and randomized either to bathing at 60 min postpartum (n=126) or no bathing (n=123). All mothers practised skin‐to‐skin care of their newborns. Four rectal and tympanic registrations of newborn temperatures were carried out in both groups directly after drying at birth, and at 60, 70 and 90 min postpartum. Results: Bathing of newborns in the first hour after delivery resulted in a significantly increased prevalence of hypothermia, defined as temperature <36.5°C, at 70 and at 90 min postpartum despite the use of warmed water and the application of the STS method. There was no neonatal mortality. Aside from the bathing procedure, no background factor potentially predisposing the newborns to hypothermia was identified. Conclusion: Bathing newborn babies shortly after birth increased the risk of hypothermia despite the use of warm water and STS care for thermal protection of the newborn.