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Thu, 13 Apr 2000 10:37:57 -0400 |
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Found this on Medline.
Sincerely,
Andrea
--
Andrea Eastman, MA, CCE, IBCLC
Granville, Ohio mailto:[log in to unmask]
http://www.geocities.com/HotSprings/8978
******
Cheah FC, Boo NY. Risk factors associated with neonatal
hypothermia during cleaning of newborn infants in labour rooms. J
Trop Pediatr 2000 Feb;46(1):46-50.
Cleaning newborn infants with coconut oil shortly after birth is
a common practice in Malaysian labour rooms. This study aimed:
(1) to determine whether this practice was associated with a
significant decrease in the core temperature of infants; and (2)
to identify significant risk factors associated with neonatal
hypothermia. The core temperature of 227 randomly selected
normal-term infants immediately before and after cleaning in
labour rooms was measured with an infrared tympanic thermometer
inserted into their left ears. Their mean post-cleaning body
temperature (36.6 degrees C, SD = 1.0) was significantly lower
than their mean pre-cleaning temperature (37.1 degrees C, SD =
1.0; p < 0.001). Logistic regression analysis showed that the
risk factors significantly associated with pre-cleaning
hypothermia (< 36.5 degrees C) were: (1) not being placed under
radiant warmer before cleaning p = 0.03); and (2) lower labour
room temperature (p < 0.001). Logistic regression analysis also
showed that the risk factors significantly associated with
post-cleaning hypothermia were: (1) lower labour room temperature
(p < 0.001); (2) lower pre-cleaning body temperature (p < 0.001);
and (3) longer duration of cleaning (p = 0.002). In conclusion,
to prevent neonatal hypothermia, labour room temperature should
be set at a higher level and cleaning infants in the labour room
should be discouraged.
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