A Randomized Controlled Trial to Improve Outcomes Utilizing Various Warming Techniques during Cesarean Birth. Issue 6 (14th October 2014)

• Record Type: Journal Article
• Authors: Paris, Lisa Groff; Seitz, Melody; McElroy, Katie G.; Regan, Mary
• Is Part Of: Journal of obstetric, gynecologic, and neonatal nursing. Volume 43:Issue 6(2014)
• Page Start: 719
• Page End: 728
• Publication Date: 2014-10-14
• Subjects: Maternity nursing -- Periodicals; Gynecologic nursing -- Periodicals; Newborn infants -- Care -- Periodicals; Pediatric nursing -- Periodicals; Genital Diseases, Female -- nursing; Obstetrical Nursing; Pediatric Nursing; 618.2
• DOI: 10.1111/1552-6909.12510
• Languages: English
• ISSNs: 0884-2175

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="jogn12510-sec-0010" sec-type="section"> <title>Objective</title> <p>To examine the effect of various warming methods during cesarean birth (CB) on maternal core body temperature, maternal hypothermia, and other maternal and neonatal outcomes.</p> </sec> <sec id="jogn12510-sec-0020" sec-type="section"> <title>Design</title> <p>Three‐arm randomized controlled trial.</p> </sec> <sec id="jogn12510-sec-0030" sec-type="section"> <title>Setting</title> <p>Perinatal unit in a large community hospital in the mid‐Atlantic United States.</p> </sec> <sec id="jogn12510-sec-0040" sec-type="section"> <title>Participants</title> <p>Two hundred twenty‐six (226) pregnant women undergoing planned CB.</p> </sec> <sec id="jogn12510-sec-0050" sec-type="section"> <title>Methods</title> <p>Women were randomly assigned to one of three groups (usual care, warmed fluids, or warmed underbody pad). Warming treatments began preoperatively and continued for 2 hours postoperatively. Study nurses measured outcomes at defined intervals.</p> </sec> <sec id="jogn12510-sec-0060" sec-type="section"> <title>Results</title> <p>Both warming techniques affected maternal temperatures and the incidence of hypothermia. The warmed fluids group had significantly higher temperatures in the operating room, whereas the warmed underbody pad group had significantly higher temperatures in the recovery room. Although none of the other outcomes was statistically different among groups, the findings have implications for practice. Apgar scores were proportionately lower in the usual care group, and maternal request for additional warming was proportionately higher in the usual care group.</p> </sec> <sec id="jogn12510-sec-0070" sec-type="section"> <title>Conclusion</title> <p>This study adds information on ways to maintain maternal normothermia during surgery. By understanding maternal hypothermia during CB, nurses can use best practice to obtain optimal maternal and neonatal outcomes.</p> </sec> </abstract>