The use of touch by health workers to detect hypothermia was examined in 250 newborns in Nepal. Palpation of the feet shows fair interobserver agreement (κ = 0.4–0.7) and high sensitivity (>80%) but low specificity (36%–74%) compared with axillary thermometry. Traditional birth attendants should feel an infant’s feet to detect hypothermia.
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Competing interests: none declared
Since the data reported here were collected under her supervision, Sister Purna Shrestha has died. This paper is dedicated to her memory.
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