1. Body temperature at nursery admission in a cohort of healthy newborn infants: Results from an observational cross-sectional study
- Author
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Merazzi, D., Bresesti, I., Tagliabue, P., Valsecchi, M. G., De Lorenzo, P., Lista, G., Daniele, I., Restelli, R., Bollani, L., Maini, A., Bellan, C., Zappella, E., Colombo, L., Sorrentino, G., Ciraci, G., Lomazzi, M., Lombardo, I., Ferraresi, M., Pagani, L., Bernardo, L., Romani, M., Agosti, M., Martinelli, S., Miraglia, G., Palumbo, E., Menghi, V., Cavalli, C., Paternieri, A., Messina, D., Teani, M., Barachetti, R., Lazzari, F., Merazzi, D, Bresesti, I, Tagliabue, P, Valsecchi, M, De Lorenzo, P, Lista, G, Daniele, I, Restelli, R, Bollani, L, Maini, A, Bellan, C, Zappella, E, Colombo, L, Sorrentino, G, Ciraci, G, Lomazzi, M, Lombardo, I, Ferraresi, M, Pagani, L, Bernardo, L, Romani, M, Agosti, M, Martinelli, S, Miraglia, G, Palumbo, E, Menghi, V, Cavalli, C, Paternieri, A, Messina, D, Teani, M, Barachetti, R, and Lazzari, F more...
- Subjects
Male ,medicine.medical_specialty ,Cross-sectional study ,Hypothermia ,Thermoregulation ,Body Temperature ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Neonatal hypothermia ,030225 pediatrics ,medicine ,Humans ,Delivery room ,Newborn ,030212 general & internal medicine ,Practice Patterns, Physicians' ,Obstetrics ,business.industry ,Delivery Rooms ,Research ,Infant, Newborn ,lcsh:RJ1-570 ,lcsh:Pediatrics ,Clinical Practice ,Cross-Sectional Studies ,Nurseries, Hospital ,Italy ,Infant Care ,Cohort ,Female ,Observational study ,Guideline Adherence ,medicine.symptom ,business - Abstract
Background Exposure to hypothermia is somehow unavoidable when a baby comes to life. This is the reason why any possible effort should be made by every caregiver involved during birth, from labour to transfer into the maternity ward, to reduce it. Hypothermia has widely shown to be related to several neonatal problems, and the risks are more relevant when the babies are born prematurely. Method An observational study was conducted in April 2016 to assess the current practises to avoid hypothermia at birth in 20 Italian neonatal units. Each unit introduced local improvements in clinical practice and the same observational study was repeated 1 year later. Results A total of 4722 babies were analysed. An overall increase in adherence to local and international recommendations emerged from our study. Significant differences between 2016 and 2017 were found in regard to neonatal temperature at nursery entry (36.3 °C vs 36.5 °C, respectively, p 60″ (48.1% vs 68.1%, respectively, p 60′ (56.3% vs 60.9, respectively, p = 0.03). Statistical correlations with the risk of hypothermia were found for delivery room (OR 0.88 (CI 95%0.83–0.94), p p Conclusion Periodical assessment of the delivery room practice has shown to be effective in improving adherence to the international recommendations. Relationship between neonatal hypothermia and several other variables including the delivery room and mother temperature underlines how neonatal thermoregulation starts immediately after birth. Hence, a multi-disciplinary approach is needed to provide the optimal environment for a safe birth. more...
- Published
- 2020