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Incidence and Severity of Hypothermia in Unplanned Out-of-hospital Birth |
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| รหัสดีโอไอ | |
| Creator | Poramet Woneprasert. |
| Title | Incidence and Severity of Hypothermia in Unplanned Out-of-hospital Birth |
| Publisher | P.A. LIVING CO., LTD. |
| Publication Year | 2563 |
| Journal Title | Thai Journal of Emergency Medicine |
| Journal Vol. | 2 |
| Journal No. | 2 |
| Page no. | 51 - 63 |
| Keyword | hypothermia, neonate, Unplanned Out-of-hospital Birth |
| URL Website | https://he02.tci-thaijo.org/index.php/TJEM/index |
| Website title | Thai jounal of Emergency Meddicine |
| ISSN | 2697 - 4924 |
| Abstract | Abstract Introduction Hypothermia in the newborn resulting in multiple body systems; cardiopulmonary (bradycardia, tachypnea), central nervous system (lethargy, poor feeding), and vascular system (peripheral vasoconstriction) and considered to be a significant contributing factor to neonatal morbidity and mortality. Despite a recommendation of maintaining temperature in neonatal resuscitation and newborn care, hypothermia is a common neonatal problem that has remained under-recognized, under-document, and poorly managed. We aim to identify hypothermia in out-of-hospital birth. Objectives to identify incidence and severity of hypothermia in the infant born before arrival at the hospital Method Data were collected retrospectively from all infants born before arrival at Nopparat Rajathani hospital from 1st January 2018 to 31st December 2020 Results eighty-three cases were analyzed. This study reveals that the incidence of hypothermia is 51.8%. Mild hypothermia is 26.5%, and moderate hypothermia is 25.3%. The mild hypothermic group had transportation time around 60 minutes and need 41.1 minutes to reach normal temperature. The moderate hypothermic group had a transportation time of around 90 minutes and need 82.2 minutes to reach normal temperature. There is no mortality in this study. Conclusion Half of the cases had a hypothermic condition, and all cases can be treated to normal temperature in about 1 hour. The moderate hypothermic group had more transportation time than the mild hypothermic group. Therefore, rewarming methods used during pre-hospital management are essential to reduce hypothermia incidence and meet the best outcome. |
