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Neonatal Hypothermia in a Developing Country

From the Thawra Children's Hospital, Thawra, Baghdad, Iraq

Nawal Al-Kafaji

From the Thawra Children's Hospital, Thawra, Baghdad, Iraq

Fifty newborn Iraqi children with hypothermia were studied to determine causes and incidence of the precipitating factors. The majority of infants more than three days old (late-onset) had evidence of infection, particularly septicemia. The overall mortality rate was 26 per cent-(42 per cent in low birth weight infants (LBW). Early-onset hypothermia in the first three days of life is due to exposure to cold without evidence of infection and has a good prognosis. The most common finding in our series was a high incidence of aspiration pneumonia in late-onset hypothermia. Antibiotics effective against Escherichia, coli, such as gentamicin, should be given from the outset to all patients with late-onset hypothermia without waiting for laboratory proof of infection.

Clinical Pediatrics, Vol. 19, No. 6, 401-404 (1980)
DOI: 10.1177/000992288001900604


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