e-Article
Body temperature at nursery admission in a cohort of healthy newborn infants: results from an observational cross-sectional study
Document Type
Report
Author
Merazzi, Daniele; Bresesti, Ilia; Tagliabue, Paolo; Valsecchi, Maria Grazia; De Lorenzo, Paola; Lista, Gianluca; Daniele, Irene; Restelli, Rosanna; Bollani, Lina; Maini, Antonella; Bellan, Cristina; Zappella, Emanuela; Colombo, Lorenzo; Sorrentino, Gabriele; Ciraci, Giovanni; Lomazzi, Marcella; Lombardo, Ilaria; Ferraresi, Marilena; Pagani, Luciana; Bernardo, Luca; Romani, Manuela; Agosti, Massimo; Martinelli, Stefano; Miraglia, Giuseppe; Palumbo, Emilio; Menghi, Veronica; Cavalli, Claudio; Paternieri, Arianna; Messina, Daniela; Teani, Maddalena; Barachetti, Roberta; Lazzari, Franca
Source
Italian Journal of Pediatrics. April 15, 2020, Vol. 46 Issue 1
Subject
Language
English
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 [degrees]C vs 36.5 [degrees]C, respectively, p < 0.0001), delayed cord clamping practice > 60" (48.1% vs 68.1%, respectively, p < 0.0001) and skin-to-skin practice > 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 < 0.0001) and maternal temperature (OR 0.57 (CI 95% 0.48-0.67), p < 0.0001). 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. Keywords: Newborn, Thermoregulation, Delivery room
Author(s): Daniele Merazzi[sup.1] , Ilia Bresesti[sup.2,3] , Paolo Tagliabue[sup.4] , Maria Grazia Valsecchi[sup.5] , Paola De Lorenzo[sup.6] , Gianluca Lista[sup.2] , Irene Daniele[sup.] , Rosanna Restelli[sup.] , Lina Bollani[sup.] , [...]
Author(s): Daniele Merazzi[sup.1] , Ilia Bresesti[sup.2,3] , Paolo Tagliabue[sup.4] , Maria Grazia Valsecchi[sup.5] , Paola De Lorenzo[sup.6] , Gianluca Lista[sup.2] , Irene Daniele[sup.] , Rosanna Restelli[sup.] , Lina Bollani[sup.] , [...]