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Archives of Disease in Childhood - Fetal and Neonatal Edition 2006;91:F367-F368; doi:10.1136/adc.2005.086165
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

SHORT REPORT

Touch detection of neonatal hypothermia in Nepal

M Ellis1, D Manandhar2, L Hunt1, S Barnett3 and K Azad4

1 Centre for Child and Adolescent Health, Bristol University, UK
2 Maternal and Infant Research Activities, Kathmandu, Nepal
3 International Perinatal Unit, UCL, London, UK
4 Perinatal Care Project, DAB, Dhakka, Bangladesh

Correspondence to:
Correspondence to:
Dr Ellis
Hampton house, Cotham Hill, Bristol BS6 6JS, UK; m.ellis{at}bristol.ac.uk

ABSTRACT

The use of touch by health workers to detect hypothermia was examined in 250 newborns in Nepal. Palpation of the feet shows fair interobserver agreement ({kappa} = 0.4–0.7) and high sensitivity (>80%) but low specificity (36%–74%) compared with axillary thermometry. Traditional birth attendants should feel an infant’s feet to detect hypothermia.

Keywords: hypothermia; community health services; developing countries; traditional birth attendant; temperature monitoring


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This article has been cited by other articles:

  • Agarwal, S., Sethi, V., Pandey, R. M., Kondal, D. (2008). Human Touch vs. Axillary Digital Thermometry for Detection of Neonatal Hypothermia at Community Level. J Trop Pediatr 54: 200-201 [Abstract] [Full Text]  

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