OJAnes  Vol.3 No.3 , May 2013
Maintaining Neonatal Normothermia during WHO Rec-ommended Skin-to-Skin Contact in the Setting of Cesarean Section under Regional Anesthesia
Abstract: This study compared mothers’ and newborns’ temperatures (T) when the WHO recommended skin-to-skin contact (SSC) was practiced during cesarean section under regional anesthesia. 139 neonates were randomized to be left in their mothers’ arms warmed by a forced air warmer (SSC-FAW) or put in an incubator. Maternal and newborn rectal T was recorded immediately after birth, at 5, 10 and 15 minute intervals. Maternal and neonatal T was comparable between the groups. FAW is as effective as an incubator in preventing neonatal hypothermia while the mother is undergoing surgery in the operating room, while favouring SSC.
Cite this paper: S. Stirparo, A. Farcomeni, A. Laudani and G. Capogna, "Maintaining Neonatal Normothermia during WHO Rec-ommended Skin-to-Skin Contact in the Setting of Cesarean Section under Regional Anesthesia," Open Journal of Anesthesiology, Vol. 3 No. 3, 2013, pp. 186-188. doi: 10.4236/ojanes.2013.33043.

[1]   World Health Organization, Division of Child Health and Development, “Evidence for the Ten Steps to Successful Breastfeeding,” 1998.

[2]   S. Carfoot, P. Williamson and R. Dickson, “A Systematic Review of Randomised Controlled Trials Evaluating the Effect of Mother/Baby Skin-To-Skin Care on Successful Breastfeeding,” Midwifery, Vol. 19, No. 2, 2003, pp. 148-155. doi:10.1016/S0266-6138(02)00102-X

[3]   K. Hammarlund, G. E. Nilsson, P. A. Oberg and G. Sedin, “Transepidermal Water Loss in Newborn Infants: V. Evaporation from the Skin and Heat Exchange during the First Hours of Life,” Acta Paediatrica, Vol. 69, No. 3, 1980, pp. 385-392. doi:10.1111/j.1651-2227.1980.tb07097.x

[4]   T. Matsukawa, D. I. Sessler, R. Christensen, et al., “Heat Flow and Distribution during Epidural Anesthesia,” Anesthesiology, Vol. 83, No. 5, 1995, pp. 961-967. doi:10.1097/00000542-199511000-00008

[5]   K. Christensson, C. Siles, T. Cabrera, A. Belaustequi, P. de la Fuente, H. Lagercrantz, et al., “Lower Body Temperatures in Infants Delivered by Cesarean Section than in Vaginally Delivered Infants,” Acta Paediatrica, Vol. 82, No. 2, 1993, pp. 128-131. doi:10.1111/j.1651-2227.1993.tb12622.x

[6]   S. Gouchon, D. Gregori, A. Picotto, G. Patrucco, M. Nangeroni and P. Di Giulio, “Skin-to-Skin Contact after Cesarean Delivery,” An Experimental Study. Nursing Research, Vol. 59, No. 2, 2010, pp. 78-84. doi:10.1097/NNR.0b013e3181d1a8bc