Efficacy of early initiation of breastfeeding (EIB) for preventing hypothermia in newborns



Abstract views 478 times


Effectiveness, Breastfeeding, Early Breastfeeding Initiation, Skin to Skin, Neonates, Newborn Baby, Hypothermia


Newborns are at risk of losing body heat after birth. According to UNICEF, the global infant mortality rate is still worrying, in Sub-Saharan Africa, of 29 deaths per 1,000 births. It means that 80% of deaths are caused by asphyxia, complications at birth, hypothermia, and sepsis. In Indonesia, the causes of death for newborns 0-6 days include respiratory disorders (36.9%), prematurity (32.4%), sepsis (12%), hypothermia (6.8%,) and jaundice (6.6%). Evidence suggests some technological interventions in preventing hypothermia in newborns, such as skin-to-skin contact between mother and baby. This study aimed to explore available technological evidence regarding the effectiveness of IMD in the prevention of hypothermia in newborns. The review is based on the integrative review method by following the modified design it consists of identifying topics, identifying problems/questions, collecting data with relevant evidence, evaluating data, analyzing, and interpreting data, concluding, and presenting results. PRISMA flow diagram is used to show the flow of evidence search. The results of the review included 10 articles. From the review, three facts were discovered, namely, EIB can increase temperature, increase breastfeeding levels, and increase low weight loss in the baby's first days. Infant mortality can be prevented with the role of trained health workers during ANC, delivery/postnatal, and EIB during the first/two hours of postpartum to prevent hypothermia.

Author Biographies

Binti Lu'lu' Muthoharoh, Universitas 'Aisyiyah Yogyakarta

Mahasiswa Prodi S2 Kebidanan

Siti Yuriah, Universitas 'Aisyiyah Yogyakarta

Mahasiswa Prodi S2 Kebidanan

Ria Gustiani, Universitas 'Aisyiyah Yogyakarta

Mahasiswa Prodi S2 Kebidanan

Yaolanda Rizqi Agustina, Universitas 'Aisyiyah Yogyakarta

Mahasiswa Prodi S2 Kebidanan

Indrawati Indrawati, Universitas 'Aisyiyah Yogyakarta

Mahasiswa Prodi S2 Kebidanan

Mufdlilah Mufdlilah, Universitas 'Aisyiyah Yogyakarta

Dosen Prodi S2 Kebidanan


Battersby, Longford, Patel, Selby, Ojha, Dorling, & Gale. (2018). Study protocol: Optimising newborn nutrition during and after neonatal therapeutic hypothermia in the United Kingdom: observational study of routinely collected data using propensity matching. BMJ Open, 8(10), 26–39. https://doi.org/10.1136/bmjopen-2018-026739

Beiranvand, Valizadeh, Hosseinabadi, & Pournia. (2019). The Effects of Skin-to-Skin Contact on Temperature and Breastfeeding Successfulness in Full-Term Newborns after Cesarean Delivery. International Journal of Pediatrics, 1(2), 1–7. https://doi.org/10.1155/2014/846486

Demissie, Abera, Chichiabellu, & Astawesegn. (2018). Neonatal hypothermia and associated factors among neonates admitted to neonatal intensive care unit of public hospitals in Addis Ababa, Ethiopia. BMC Pediatrics, 18(1), 263. https://doi.org/10.1186/s12887-018-1238-0

Garrard. (2020). Health Science Literature Review Made Easy: The Matrix method (sixth). Jones & Barttlet Learning.

Gayatri, & Dasvarma. (2020). Predictors of early initiation of breastfeeding in Indonesia: A population-based crosssectional survey. PLoS ONE, 15(9), 1–10. https://doi.org/10.1371/journal.pone.0239446

Gildboy, & Bower. (2011). Depression in Primary Care: Evidence and Practice. Cambridge University Press.

Idayanti, Indriyanti, & Anggraeni. (2019). The Effect of Early Breastfeeding Initiation (IMD) on New Born Baby Temperature in BPS

Heppy Rina, S.St, Seduri Village-Mojosari and Bps Fifit, S.St, Panjer Village-Mojosari. Nurse and Health. Jurnal Keperawatan, 8(1), 28–35. https://doi.org/10.36720/nhjk.v8i1.59

Kyu, H. H., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., Abdelalim, A., Abdollahpour, I., Abdulkader, R. S., Abebe, M., Abebe, Z., Abil, O. Z., Aboyans, V., Abrham, A. R., Abu-Raddad, L. J., Abu-Rmeileh, N. M. E., … Murray, C. J. L. (2018). Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1859–1922. https://doi.org/10.1016/S0140-6736(18)32335-3

Mukunya, Tumwine, Nankabirwa, Odongkara, Tongun, Arach, Tumuhamye, Napyo, Zalwango, & Achora. (2021). Neonatal hypothermia in Northern Uganda: A community-based cross-sectional study. BMJ Open, 11(2), 17–23.

Munn, Peters, Stern, Tufanaru, McArthur, & Aromataris. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. 143.

Parti, Malik, & Nurhayati. (2020). Effects of Kangaroo Mother Care (KMC) on Prevention of Hypothermia in Newborns. Jurnal Bidan Cerdas, 2(2), 66–71. https://doi.org/10.33860/jbc.v2i2.56

Rahman, A. E., Perkins, J., Islam, S., Siddique, A. B., Moinuddin, M., Anwar, M. R., Mazumder, T., Ansar, A., Rahman, M. M., Raihana, S., Capello, C., Santarelli, C., El Arifeen, S., & Hoque, D. M. E. (2018). Knowledge and involvement of husbands in maternal and newborn health in rural Bangladesh. BMC Pregnancy and Childbirth, 18(1), 1–12. https://doi.org/10.1186/s12884-018-1882-2

Raihana, Dibley, Rahman, Tahsina, Siddique, & Rahman. (2019). Early initiation of breastfeeding and severe illness in the early newborn period: An observational study in rural Bangladesh. PLOS Medicine, 16(8), 29–40. https://doi.org/10.1371/journal.pmed.1002904

Safari, Saeed, Hasan, & Moghaddam-Banaem. (2018a). The effect of mother and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of third stage of labor. International Breastfeeding Journal, 13(1), 1–8. https://doi.org/10.1186/s13006-018-0174-9

Safari, Saeed, Hasan, & Moghaddam-Banaem. (2018b). The effect of mother and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of third stage of labor. International Breastfeeding Journal, 13(1), 31. https://doi.org/10.1186/s13006-018-0174-9

Srivastava, Gupta, Bhatnagar, & Dutta. (2019). Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian Journal of Public Health, 58(1), 22. https://doi.org/10.4103/0019-557X.128160

Tasew, Gebrekristos, Kidanu, Mariye, & Teklay. (2018). Determinants of hypothermia on neonates admitted to the intensive care unit of public hospitals of Central Zone, Tigray, Ethiopia 2017: Unmatched case–control study. BMC Research Notes, 11(1), 576. https://doi.org/10.1186/s13104-018-3691-0

Thukral, Sankar, Agarwal, Gupta, Deorari, & Paul. (2021). Early Skin-to-Skin Contact and Breast-Feeding Behavior in Term Neonates: A Randomized Controlled Trial. Neonatology, 102(2), 114–119. https://doi.org/10.1159/000337839

Ukke, & Diriba. (2019). Prevalence and factors associated with neonatal hypothermia on admission to neonatal intensive care units in Southwest Ethiopia – A cross-sectional study. PLOS ONE, 14(6), 18–20. https://doi.org/10.1371/journal.pone.0218020.




How to Cite

Muthoharoh, B. L., Yuriah, S., Gustiani, R., Agustina, Y. R., Indrawati, I., & Mufdlilah, M. (2022). Efficacy of early initiation of breastfeeding (EIB) for preventing hypothermia in newborns. Journal of Health Technology Assessment in Midwifery, 5(2), 82–95. https://doi.org/10.31101/jhtam.2211