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Preventing peri-operative maternal and neonatal hypothermia after skin-to-skin contact.pdf

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Preventing peri-operative maternal and neonatal hypothermia after skin-to-skin contact.pdf

Journal of Neonatal Nursing (2016) 22, 163e170 /jneo Preventing peri-operative maternal and neonatal hypothermia after skin-to-skin contact Aliona Vilinsky, BSc, RM, MSc, Clinical Midwifea,*, Ann Sheridan, PhD, M.Ed, BNS, RPN, RGN, RNT, Lecturer and Researcherb, Linda E. Nugent, BSc, RGN, MSc, PhD, Research Fellowc a Rotunda Hospital, Parnell Square, Dublin 1, Ireland b School of Nursing, Midwifery Health Systems, University College Dublin, Ireland c RCSI Faculty of Nursing Midwifery NMPD, HSE, Dublin North, Ireland Available online 2 March 2016 KEYWORDS Skin-to-skin contact; Caesarean section; Maternal hypothermia; Neonatal hypothermia; Warming devices Abstract This small Randomised Controlled Trial (RCT) study aims to investigate whether there is any connection between maternal and infant hypothermia for babies delivered by caesarean section while the baby undergoes skin-to-skin contact (SSC). 20 pregnant women booked for elective caesarean section (singleton pregnancy) and their newborn babies were consented and randomly allocated into two groups, care as usual and intervention group. The care as usual e received room temperature IV ?uids (approximately 25 C), with the intervention group receiving pre-warmed ?uids (39 C) via a ?uid warmer device (Hotline Fluid Warmer, Level 1). Maternal temperature in the intervention group who received the pre-warmed IV ?uids was maintained within normal levels when compared to the care as usual group. While no statistical signi?cant differences were identi?ed in neonatal temperatures, reduced temperatures were identi?ed in babies resulting in mild neonatal hypothermia especially the neonates of the control group. a 2016 Neonatal Nurses Association. Published by Elsevier Ltd. All rights reserved. * Corresponding author. E-mail address: vilialio85@ (A. Vilinsky). /10.1016/j.jnn.2016.02.002 1355-1841/a 2016 Neonatal Nurses Association. Published by Elsevier Ltd. All rights reserved. 164 Introduction Skin-to-skin contact (SSC)