Nelson E A, Taylor B J
Department of Paediatrics and Child Health, University of Otago Medical School, Dunedin, New Zealand.
Paediatr Perinat Epidemiol. 1989 Apr;3(2):146-56. doi: 10.1111/j.1365-3016.1989.tb00508.x.
Documentation of infant care practices (clothing, bedding and room heating) was undertaken in an area where the postneonatal mortality rate is 9.3 per 1000 live births. Three hundred and eleven infants (mean age 5 weeks) were studied in their own home during winter and spring. Low room temperatures were associated with low socioeconomic status, but not consistently with clothing or bedding thicknesses. The estimated thickness of bedding covering infants was less if their mothers were less well educated. Infants at high risk for possibly preventable postneonatal mortality, based on a locally developed scoring system, had less bedding and colder rooms. Ideas of illness management were often inappropriate, in that a large number of mothers would further wrap up their infants if they had a cold (58%), were febrile (8%) or had a convulsion (21%). The clothing and bedding appropriate for different environmental conditions in health and illness needs physiological evaluation. Meanwhile parents should be reminded of the risk of both hypothermia and hyperthermia.
在一个后新生儿死亡率为每1000例活产9.3例的地区，开展了关于婴儿护理做法（衣物、被褥和房间供暖）的记录工作。在冬季和春季，对311名婴儿（平均年龄5周）在其家中进行了研究。房间温度低与社会经济地位低有关，但与衣物或被褥厚度并无始终一致的关联。如果母亲受教育程度较低，覆盖婴儿的被褥估计厚度就较小。根据当地制定的评分系统，有可能预防的后新生儿死亡高风险的婴儿，其被褥较少且房间较冷。疾病管理观念往往不恰当，因为大量母亲在婴儿感冒（58%）、发热（8%）或惊厥（21%）时会给婴儿裹得更严实。健康和患病时适合不同环境条件的衣物和被褥需要进行生理学评估。与此同时，应提醒父母注意体温过低和体温过高的风险。
