Christensson K, Siles C, Cabrera T, Belaustequi A, de la Fuente P, Lagercrantz H, Puyol P, Winberg J
Karolinska Institutet, Department of Paediatrics, Stockholm, Sweden.
Acta Paediatr. 1993 Feb;82(2):128-31. doi: 10.1111/j.1651-2227.1993.tb12622.x.
Clinical experience suggests that infants delivered by caesarean section have difficulties maintaining normal body temperature during the first hours after birth. To test this hypothesis, body and skin temperatures were measured and compared in healthy full-term caesarean section and vaginally delivered newborn infants. The babies were studied during the first 90 min after birth. Axillary and skin temperatures were significantly higher in the vaginally delivered group than in infants delivered by caesarean section. Infants born by non-elective caesarean section were slightly warmer during the first 90 min after birth compared to infants born by elective caesarean section. There were no significant differences in temperatures between infants cared for in a cot as compared to those cared for in an incubator. An incubator creates a physical barrier between babies and parents and incubator care might cause parental anxiety. Thus the routine of putting healthy, full-term caesarean section infants in incubators can be abandoned from a thermoregulatory point of view.
临床经验表明,剖宫产出生的婴儿在出生后的最初几个小时内难以维持正常体温。为了验证这一假设,对健康足月剖宫产和阴道分娩的新生儿进行了体温和皮肤温度的测量与比较。这些婴儿在出生后的前90分钟内接受研究。阴道分娩组的腋窝温度和皮肤温度显著高于剖宫产出生的婴儿。与择期剖宫产出生的婴儿相比,非择期剖宫产出生的婴儿在出生后的前90分钟内体温略高。与在培养箱中护理的婴儿相比,在婴儿床中护理的婴儿体温没有显著差异。培养箱在婴儿和父母之间形成了物理屏障,在培养箱中护理可能会引起父母的焦虑。因此,从体温调节的角度来看,可以放弃将健康足月剖宫产婴儿放入培养箱的常规做法。