{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:30:35Z","timestamp":1777656635458,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Pediatric Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Objective. Neonatal hypothermia is a worldwide health burden with an incidence ranging from 32% to 85% in hospitals and 11% to 92% in homebirths. It is prevalent in Nepal and associated with increased morbidity and mortality. The study objective was to identify key practice standards of newborn thermal management in Nepal. Methods. Our subjects included 6 lead newborn physicians from major birthing centers in Kathmandu. A modified Delphi process was used to identify the top 5 key practice standards for newborn thermoregulation in the hospital, health post, and home, compiled from 14 World Health Organization recommended practices. Results. There was consensus in all ranked practices except using radiant heat sources in the hospital and performing Kangaroo Mother Care in the homebirths. Comments conveyed that interventions during the immediate delivery phase were most impactful and feasible. Conclusion. Nepali physicians prioritized thermoregulatory practices during the immediate resuscitation period over the post-resuscitation period.<\/jats:p>","DOI":"10.1177\/2333794x241273300","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T08:09:42Z","timestamp":1729152582000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Determining Consensus Alignment and Barriers of Neonatal Thermal Management in Nepal Using a Modified Delphi Process"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6997-7333","authenticated-orcid":false,"given":"Brandon","family":"Tomlin","sequence":"first","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bibec","family":"Lamichhane","sequence":"additional","affiliation":[{"name":"Global Envirotech Initiative Asia, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2652-4377","authenticated-orcid":false,"given":"Ranjan","family":"Dhungana","sequence":"additional","affiliation":[{"name":"Children Medical Mission, Utah, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Richards","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9544-7555","authenticated-orcid":false,"given":"Peter","family":"Grubb","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anamika","family":"Mahato","sequence":"additional","affiliation":[{"name":"Dhulikhel Hospital, Dhulikhel, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Fassl","sequence":"additional","affiliation":[{"name":"Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Judkins","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"bibr1-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed7050064"},{"key":"bibr2-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1111853"},{"key":"bibr3-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czs044"},{"key":"bibr4-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004210.pub3"},{"key":"bibr5-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-11-24"},{"key":"bibr6-2333794X241273300","unstructured":"Maternal and Newborn Health Safe Motherhood Unit. Thermal Protection of the Newborn: A Practical Guide. World Health Organization; 1997. Accessed November 19, 2023. https:\/\/www.who.int\/publications-detail-redirect\/WHO_RHT_MSM_97.2"},{"key":"bibr7-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218020"},{"key":"bibr8-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.04.019"},{"key":"bibr9-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.029"},{"key":"bibr10-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000294"},{"key":"bibr11-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0089950"},{"key":"bibr12-2333794X241273300","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248838"},{"key":"bibr13-2333794X241273300","unstructured":"WHO Recommendations for Care of the Preterm or Low-Birth-Weight Infant. Geneva: World Health Organization; 2022. 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