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喜马拉雅山区村庄新生儿低体温的预防。家庭护理人员的作用。

Prevention of neonatal hypothermia in Himalayan villages. Role of the domiciliary caretaker.

作者信息

Iyengar S D, Bhakoo O N

机构信息

Department of Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Trop Geogr Med. 1991 Jul;43(3):293-6.

PMID:1816665
Abstract

Given severe winters at high altitudes, prevention of environmental neonatal hypothermia is of particular importance in Himalayan villages. This is a retrospective study of traditional concepts and practices for the prevention of neonatal hypothermia. 202 babies were studied from a population of 16,425 in three districts of a Himalayan state of North India. The community was found to believe that newborns, especially if underweight are vulnerable to cold induced disease for the first few months of life. A warm heated room for delivery and lying-in, early rooming in, oil massage and layers of warm clothing are traditional means for thermo-regulation as practiced by mothers, birth attendants and relatives. The ritual practice of bathing immediately after birth and then upto three times each day even in winter is not perceived by them to provoke hypothermia. For upto one month postpartum mothers are believed to be at risk for cold induced disease.

摘要

鉴于高海拔地区冬季严寒,在喜马拉雅山区村庄预防新生儿环境性体温过低尤为重要。这是一项关于预防新生儿体温过低的传统观念与做法的回顾性研究。在印度北部一个喜马拉雅邦的三个地区,从16425人的人口中选取了202名婴儿进行研究。研究发现,该社区认为新生儿,尤其是体重不足的新生儿在出生后的头几个月易患因寒冷引发的疾病。母亲、助产人员和亲属采用的传统体温调节方法包括:用于分娩和产后休养的温暖加热房间、早期母婴同室、油浴按摩以及多层保暖衣物。他们并不认为出生后立即洗澡,甚至在冬天每天洗澡多达三次的习俗会引发体温过低。产后长达一个月的时间里,母亲被认为有患因寒冷引发疾病的风险。

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