Hypothermia in newborn - New Born Baby

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Slide NH-5 Thermo neutral environment Slide NH-6 Definition Slide NH-7 Temperature recording NNF Teaching Aids:Newborn Care The temperature range during which the basal metabolic rate of the baby is at a minimum, oxygen utilization is least and baby thrives well is known as 'Thermo- neutral range of temperature' or 'Neutral Thermal Environment'. For each baby, this range of temperature varies depending on gestational age. Normal axillary temperature is 36.5-37.5°C. In hypothermia the temperature is below 36.5 degree centigrade. Cold stress 36.0°C to 36.4°C Moderate hypothermia 32.0°C to 35.9°C Severe hypothermia
Slide NH-8 Human touch Slide NH-9 NNF Teaching Aids:Newborn Care Rectal temperature is not recorded as a standard procedure in neonate. Record rectal temperature only for sick hypothermic neonates. The concept of "Warm Chain" (c) Skin temperature: Skin temperature is recorded by a thermister. The probe of the thermister is attached to the skin over upper abdomen. The thermister senses the skin temperature and displays it on the panel. Baby's temperature can be assessed with reasonable precision by human touch, the reliability of which can be enhanced by training. Abdominal temperature is representative of the core temperature and it is reliable in the diagnosis of hypothermia. The warm and pink feet of the baby indicate that the baby is in thermal comfort. But when feet are cold and trunk is warm it indicates that the baby is in cold stress. In hypothermia both feet and trunk are cold to touch. Baby must be kept warm at the place of birth (home or hospital) and during transportation for special care either from home to hospital or within the hospital. Satisfactory control demands both prevention of heat loss and promotion of heat gain. The "warm chain" is a set of ten interlinked procedures carried out at birth and later, which will minimize the likelihood of hypothermia in all newborns. 1. Warm delivery room (> 25°C) 2. Warm resuscitation 3. Immediate drying 4. Skin-to-skin contact between baby and the mother 5. Breastfeeding 6. Bathing and weighing postponed 3
Page 1: Slide NH-l Slide NH-2, 3 Slide NH-4
Page 5 and 6: Slide NH-13, 14 Slide NH-15 NNF Tea
Page 7 and 8: Slide NH- 19, 20, 21 (e) Chronic si
Page 9: For further reading NNF Teaching Ai

Hypothermia in newborn - New Born Baby

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