Hypothermia in the early neonatal period

Abstract

Background: Hypothermia in neonates is a common problem and is associated with increased morbidity and mortality. Prevention of hypothermia is therefore an essential aspect of neonatal care especially in the immediate neonatal period. Aim: To evaluate the efficacy of thermal care of the neonate in the labour ward at St Luke's Hospital, Malta. Method: Retrospective study analysing the temperature on admission to the nursery from the labour ward. A consecutive sample of 754 neonates admitted during 2002 was studied. Results: The proportion of babies admitted with normal body temperature (36.5-37.5°C) was 25.5%. The rest were mildly (36.0-36.5°C) (42.2%) or moderately (<36.0°C) (32.2%) hypothermic. Significantly less normothermia was evident in winter births (19.6%) than in summer births (38.1%) (Chi squared=26.5, p<0.0001). Implications: The results indicate the need for an improvement in thermal support in the labour ward.