Incidence and Severity of Hypothermia in Unplanned Out-of-hospital Birth
Keywords:
hypothermia, neonate, Unplanned Out-of-hospital BirthAbstract
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 25.396. 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.
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บทความที่ได้รับตีพิมพ์ในวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทย ถือเป็นเป็นลิขสิทธิ์ของ วิทยาลัยแพทย์เวชศาสตร์ฉุกเฉินแห่งประเทศไทย
กรณีที่บทความได้รับการตีพิมพ์ในวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทยแล้ว จะตีพิมพ์ในรูปแบบอิเล็กทรอนิกส์ ไม่มีสำเนาการพิมพ์ภายหลังหนังสือเผยแพร่เรียบร้อยแล้ว ผู้นิพนธ์ไม่สามารถนำบทความดังกล่าวไปนำเสนอหรือตีพิมพ์ในรูปแบบใดๆ ที่อื่นได้ หากมิได้รับคำอนุญาตจากวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทย
