the risk of mortality subsequent to hypothermia. We sought to describe the incidence of neonatal hypothermia and quantify the neonatal mortality and hypothermia association using the first temperature observed in the admission room of a busy Semi-rural unit in the Northern hot setting of Kwazulu- Natal province, South Africa. Material and Methods Clinical Facilities Empangeni Neonatal unit is part of a child and Maternal Hospital, Lower Umfolozi District War Memorial Hospital (LUDWMH) in North-East of Kwazulu-Natal, South Africa. This is the only maternity and neonatal regional referral Centre for an area with a population estimated at 2 Million with 16 District hospitals as referring entities. Fifty thousand (50 000) live births occur in the entire area annually including 10 000 at The neonatal service was introduced at the hospital in 1998 with a 15 unit LUDWMH. beds without intensive care facilities. Between 1999 and 2008 the unit was expanded to 92 bed neonatal units: 16 NICU beds, 40 high care, 16 special care beds and a Kangaroo mother care (KMC) unit (20 beds). Because of the burden in neonatal admissions needing mechanical ventilation, our NICU unit is set up to allow only 2.8 meters which is below the provincial norms of 5 meters square around every infant bed squares. Eight full time Paediatric and seven Obstetric consultants run the Paediatric and maternity & Gynecological services, respectively. Data collection A prospective, computerized data set of all routine neonatal admissions has been in place at LUDWMH since January 2000. This data base has been up graded to Epi-Info 7 software in January 2016. Additional information was added including admission temperature. On admission, at discharge and during the weekly neonatal morbidity and mortality review, standardized routine clinical and laboratory data on neonates are collected in a monthly edited admission book template compatible with CDC 7 Data extracted include Date of admission, patient’s locally designed data set. details, maternal details, demographics, presenting signs, admissions diagnosis, final and secondary diagnosis, treatment and procedures & complications, outcomes, date
the risk of mortality subsequent to hypothermia. We sought to describe the incidence of neonatal hypothermia and quantify the neonatal mortality and hypothermia association using the first temperature observed in the admission room of a busy Semi-rural unit in the Northern hot setting of Kwazulu- Natal province, South Africa. Material and Methods Clinical Facilities Empangeni Neonatal unit is part of a child and Maternal Hospital, Lower Umfolozi District War Memorial Hospital (LUDWMH) in North-East of Kwazulu-Natal, South Africa. This is the only maternity and neonatal regional referral Centre for an area with a population estimated at 2 Million with 16 District hospitals as referring entities. Fifty thousand (50 000) live births occur in the entire area annually including 10 000 at LUDWMH. The neonatal service was introduced at the hospital in 1998 with a 15 unit beds without intensive care facilities. Between 1999 and 2008 the unit was expanded to 92 bed neonatal units: 16 NICU beds, 40 high care, 16 special care beds and a Kangaroo mother care (KMC) unit (20 beds). Because of the burden in neonatal admissions needing mechanical ventilation, our NICU unit is set up to allow only 2.8 meters square around every infant bed which is below the provincial norms of 5 meters squares. Eight full time Paediatric and seven Obstetric consultants run the Paediatric and maternity & Gynecological services, respectively. Data collection A prospective, computerized data set of all routine neonatal admissions has been in place at LUDWMH since January 2000. This data base has been up graded to Epi-Info 7 software in January 2016. Additional information was added including admission temperature. On admission, at discharge and during the weekly neonatal morbidity and mortality review, standardized routine clinical and laboratory data on neonates are collected in a monthly edited admission book template compatible with CDC 7 locally designed data set. Data extracted include Date of admission, patient’s details, maternal details, demographics, presenting signs, admissions diagnosis, final and secondary diagnosis, treatment and procedures & complications, outcomes, date
Proceedings-2016.docx