Maternal Hypothermia in Scheduled Cesarean Births and Neonatal Outcomes
Article first published online: 14 JUN 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Special Issue: 2012 Convention Proceedings
Volume 41, Issue s1, pages S134–S135, June 2012
How to Cite
Baker, B. (2012), Maternal Hypothermia in Scheduled Cesarean Births and Neonatal Outcomes. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: S134–S135. doi: 10.1111/j.1552-6909.2012.01362_23.x
- Issue published online: 14 JUN 2012
- Article first published online: 14 JUN 2012
- maternal hypothermia;
- neonatal hypothermia;
- epidural anesthesia;
To evaluate the relationship between maternal hypothermia and newborn temperatures in cesarean births.
Retrospective chart review of low-risk cesareans performed over a 6-month time period using epidural anesthesia.
Urban academic medical center in the southeastern United States providing care to a diverse population of families.
Low-risk mothers at greater than 39 weeks gestation scheduled for cesareans with planned epidural anesthesia.
Retrospective chart review following Institutional Review Board approval. Statistical analysis included descriptive analysis of the sample and odds ratio.
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.