March 3, 2020 Journal article Open Access

Biruk Beletew; Ayelign Mengesha; Mesfin Wudu; Melese Abate

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{
  "DOI": "10.1186/s12887-020-02024-w", 
  "author": [
    {
      "family": "Biruk Beletew"
    }, 
    {
      "family": "Ayelign Mengesha"
    }, 
    {
      "family": "Mesfin Wudu"
    }, 
    {
      "family": "Melese Abate"
    }
  ], 
  "issued": {
    "date-parts": [
      [
        2020, 
        3, 
        3
      ]
    ]
  }, 
  "abstract": "<p><strong>Abstract </strong></p>\n\n<p><strong>Background</strong>: Neonatal hypothermia is a global health problem and a major factor for neonatal morbidity and mortality, especially in low and middle-income countries. Therefore, this systematic review and meta-analysis aimed to assess the prevalence of neonatal hypothermia and its associated factors in Eastern Africa.</p>\n\n<p><strong>Methods:</strong> We used the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines to search electronic databases (PubMed, Cochrane Library and Google Scholar; date of last search: 15 October 2019) for studies reporting the prevalence and associated factors of neonatal hypothermia. The data was extracted in the excel sheet considering prevalence, and categories of associated factors reported. A weighted inverse variance random-effects model was used to estimate the magnitude and the effect size of factors associated with hypothermia. The subgroup analysis was done by country, year of publication, and study design.</p>\n\n<p><strong>Results: </strong>A total of 12 potential studies with 20,911 participants were used for the analysis. The pooled prevalence of neonatal hypothermia in East Africa was found to be 57.2% (95%CI; 39.5&ndash;75.0). Delay in initiation of breastfeeding (adjusted Odds Ratio(aOR) = 2.83; 95% CI: 1.40&ndash;4.26), having neonatal health problem (aOR = 2.68; 95% CI: 1.21&ndash;4.15), being low birth weight (aOR =2.16; 95%CI: 1.03&ndash;3.29), being preterm(aOR = 4.01; 95%CI: 3.02&ndash;5.00), and nighttime delivery (aOR = 4.01; 95% CI:3.02&ndash;5.00) were identified associated factors which significantly raises the risk of neonatal hypothermia.</p>\n\n<p><strong>Conclusions:</strong> The prevalence of neonatal hypothermia in Eastern Africa remains high. Delay in initiation of breastfeeding, having a neonatal health problem, being low birth weight, preterm, and nighttime delivery were identified associated factors that significantly raises the risk of neonatal hypothermia.</p>", 
  "title": "Prevalence of neonatal hypothermia and its associated factors in East Africa: a systematic review and meta-analysis", 
  "type": "article-journal", 
  "id": "8710"
}