Hypothermia
Conditions
Brief summary
Neonatal hypothermia is associated with increased risk of mortality as well as multiple morbidities. The investigators objective is to determine if an increase in ambient operative room temperature decreases the rate of hypothermia. Operating room temperature will be randomized to the current institutional standard (67°F) or a temperature of 73°F on a weekly basis for a period of six months.
Interventions
OTHERchange in temperature
increase in ambient room temperature
Sponsors
University of Texas Southwestern Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* All pregnant women and their neonates undergoing cesarean delivery by the Parkland Hospital Obstetrics Service on the Labor and Delivery West Unit (operating rooms 1, 2, 3, and 5) during the study period.
Exclusion criteria
* Subjects will be excluded from the study if cesarean delivery is planned but a precipitous vaginal delivery occurs, intrauterine fetal demise has been diagnosed prior to start of surgery, the neonate is noted to have a major congenital anomaly, resuscitative efforts are not performed (comfort care only provided), or a neonatal temperature is not available.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| neonatal hypothermia | up to 2 hours following delivery | a core temperature of less than 36.5C |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maternal hypothermia | up to 10 hours following delivery | an oral temperature of less than 36.5C |
Other
| Measure | Time frame | Description |
|---|---|---|
| neonatal hypoglycemia | up to 8 hours following delivery | hypoglycemia requiring treatment |
Countries
United States
Outcome results
None listed