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Maintaining normothermia: Why and how?

Daniele Trevisanuto1, Daniela Testoni2, Maria Fernanda B de Almeida2

  • 1Department of Women's and Children's Health, Azienda Ospedaliera di Padova, University of Padua, Padua, Italy.

Seminars in Fetal & Neonatal Medicine
|March 31, 2018
PubMed
Summary
This summary is machine-generated.

Preventing hypothermia in newborns is crucial for reducing infant morbidity and mortality. Maintaining a stable body temperature through various interventions and quality improvement initiatives is key for infant survival.

Keywords:
Delivery roomHyperthermiaHypothermiaInfant mortalityNewbornPrematureTemperature

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Area of Science:

  • Neonatal care
  • Pediatric critical care

Background:

  • Postnatal hypothermia is a significant risk factor for neonatal morbidity and mortality, particularly in preterm infants.
  • This issue is prevalent in both high- and low-resource countries.

Purpose of the Study:

  • To highlight the importance of maintaining normothermia in newborns immediately after birth.
  • To outline effective interventions and quality improvement strategies for preventing neonatal heat loss.

Main Methods:

  • Implementing environmental controls (23-25°C).
  • Utilizing warming devices like radiant warmers and exothermic mattresses.
  • Employing protective measures such as caps, plastic wraps, and warmed gases.
  • Promoting skin-to-skin contact, especially in resource-limited settings.
  • Integrating quality improvement initiatives: staff training, checklists, and feedback.

Main Results:

  • Effective prevention of heat loss from delivery to neonatal intensive care unit admission is achievable.
  • Admission temperature serves as a critical predictor of neonatal outcomes.
  • Recording admission temperature is a valuable quality indicator.

Conclusions:

  • A combination of environmental, technological, and care-practice interventions is essential for preventing neonatal hypothermia.
  • Quality improvement strategies are vital for successful implementation and sustained normothermia.
  • Monitoring admission temperature is crucial for assessing infant well-being and care quality.