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Keywords:

  • maternal hypothermia;
  • neonatal hypothermia;
  • epidural anesthesia;
  • cesarean

Poster Presentation

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  2. Poster Presentation

Objective

To evaluate the relationship between maternal hypothermia and newborn temperatures in cesarean births.

Design

Retrospective chart review of low-risk cesareans performed over a 6-month time period using epidural anesthesia.

Setting

Urban academic medical center in the southeastern United States providing care to a diverse population of families.

Patients/Participants

Low-risk mothers at greater than 39 weeks gestation scheduled for cesareans with planned epidural anesthesia.

Methods

Retrospective chart review following Institutional Review Board approval. Statistical analysis included descriptive analysis of the sample and odds ratio.

Results

The sample included 143 charts. From this sample there were 46 (36.5%) recorded cases of newborn hypothermia, and 27 (21%) cases of maternal hypothermia. Using logistic regression, the odds of a newborn being hypothermic, given that the mother was hypothermic postop was 2.1 (CI: 0.856-5.139; p = .1055). Despite being statistically nonsignificant most likely related to sample size, there is a clinical significance, as greater than one third of the sample of newborns experienced hypothermia during the transition period of birth.

Conclusion/Implications for Nursing Practice

Maternal hypothermia is clinically significant to neonatal outcomes. Nurses have the responsibility to address hypothermia in mothers undergoing cesareans through assessment and interventions pre- and postoperatively.