A Survey of Technology and Temperature Control on a ... - CiteSeerX
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R B. JOHANSON ET AL
A Survey of Technology and Temperature Control on a Neonatal Unit in Kathmandu, Nepal by R. B. Johanson,* D. S. Malla,** C. Tuladhar,** M. Amatya,*** S. A. Spencer,! and P. Rolfeft * Department of Obstetrics, North Staffordshire Maternity Hospital, Stoke-on-Trent, UK **Kathmandu Maternity Hospital, Nepal ***Department of Biomedical Engineering, Tribhuvan University fDepartment of Neonatology, North Staffordshire Maternity Hospital, Stoke-on-Trent, UK ^Department of Biomedical Engineering, Keele University, UK Summary An assessment of the incubators in use at the Kathmandu Maternity Hospital neonatal unit was undertaken; this was followed by a prospective survey of neonatal temperatures on the unit. In the incubator assessment 11 studies were carried out in five incubators. Three of the thermostats in the five incubators did not work at all and those in the other two incubators were more than 3°C inaccurate. All the incubator thermometers gave recordings less than the actual temperature (with a range of error: 1 J-4.4°C). Six out of the 11 babies studied were hypothermic (defined as rectal temperature < 36°C). In the prospective survey of temperatures a high incidence of hypothermia was found on the neonatal unit at the time of first temperature measurement (64 percent had a rectal temperature of
