Table 4.
Possible new classification system for neonatal hypothermia
| Grade | Definition | Proportion in rural Nepala | Adjusted Mortality Riska | Possible Guideline | |
|---|---|---|---|---|---|
| Preterm | Full Term | ||||
| Normothermic | [36.5 – 37.5) | 42.8% | 1.00 | ||
| Grade 1 | [36.0 – 36.5) | 25.6% | 1.51 | • Reinforcement of thermal care messages | • Reinforcement of thermal care messages |
| Grade 2 | [35.0 – 36.0) | 21.1% | 1.75 | • Immediate in-home demonstration of improved thermal care plus follow up visits | • Reinforcement of thermal care messages |
| Grade 3 | [34.0 – 35.0) | 6.9% | 5.03 | • Immediate skilled care and referral | • Immediate in-home demonstration of improved thermal care plus follow up visits |
| Grade 4 | <34.0 | 3.6% | 9.21 | • Immediate skilled care and referral | |
a
Data from population-based study in rural Sarlahi District, Nepal28