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Maternal hypothermia: implications for obstetric nurses

P A Dunn1, R York, T G Cheek

  • 1Hospital of the University of Pennsylvania, Philadelphia 19104.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|March 1, 1994
PubMed
Summary
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Intraoperative hypothermia (low body temperature) is common in adults and obstetric patients. Management involves preventing heat loss and active rewarming to avoid complications like hypotension and arrhythmias.

Area of Science:

  • Anesthesiology
  • Obstetrics
  • Critical Care Medicine

Background:

  • Hypothermia, defined as a core body temperature below 95°F (35°C), is a frequent intraoperative complication.
  • Obstetric patients face increased risk due to pregnancy-related vasodilation, anesthetic agents, and blood loss during delivery.
  • Associated morbidities include hypotension, cardiac arrhythmias, respiratory depression, and disseminated intravascular coagulation.

Purpose of the Study:

  • To review the occurrence, risks, and management of intraoperative hypothermia in adult and obstetric patients.

Main Methods:

  • Literature review of hypothermia in intraoperative settings, focusing on obstetric patients.
  • Analysis of predisposing factors, physiological consequences, and treatment strategies.

Related Experiment Videos

Main Results:

  • Obstetric patients are particularly vulnerable to hypothermia due to physiological changes and surgical demands.
  • Hypothermia can lead to significant patient morbidity, impacting cardiovascular and respiratory systems.
  • Effective management includes preventive strategies and prompt corrective rewarming interventions.

Conclusions:

  • Intraoperative hypothermia is a preventable complication with serious consequences, especially in obstetric care.
  • A combination of preventive measures and active rewarming is crucial for patient safety.
  • Further research may optimize perioperative temperature management protocols.