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The pretern baby develops hypothermia due to poor development of heat regulation centre. The infant's large surface area and thin subcutaneous layer of fat also allow transfer of heat to the environment thus cooling his blood. The neonate is prone to develop hypothermia as after delivery baby enters into a much cooler environment contrasts with intra-uterine temperature. insulating subcutaneous fat and less brown adipose tissue.Introduction Hypothermia is a condition in which the internal temperature falls to 350 C as a result of exposure to cold. .

cloth and tray.Thermal Balance new born losses heat by evaporation particularly soon after birth (due to evaporation of amniotic fluid from skin surface) Conduction by coming in contact with cold object. Radiation to colder solid object in vicinity wall.g. . fans. windows. Convection by air currents in which cold all replaces warm air around baby e.

<36.50C In hypothermia .Grading of hypothermia Normal 36.50C † Moderate 35.90 to 320 † Severe <320 C † Mild .50 C -37.

Temperature recording Auxiliary temperature is good and safer. The thermister senses the skin temperature and displaces it on the panel. The temperature is read for 3 minutes. . reading are taken for 2 minutes but is not a standard one. Rectal Temperature: Do not use for regular/ routine. Skin temperature: it is recorded by thermister. The probe of the thermister is attached to the skin over the abdomen.

Nervous system is not fully developed so doesn't respond quickly and or properly to cold. convection) Decrease fat store Decrease subcutaneous insulation and fine body hair Increased surface area Hypothyroidism Low amount of musculature and inability or reluctance to shiver Inability to move away form clod areas. radiation. . air currents or heat draining materials. conduction.Causes Cold room (evaporation.

Peripheral vasoconstriction    Acrocynosis Cool extremities Decreased peripheral perfusion Lethargy Bradycardia Apnoea Poor feeding B.Signs and symptoms A. CNS depression     .

Continue C. Increase metabolism          Hypoglycemia Hypoxia Metabolic acidosis Increase of pulmonary artery pressure Distress Tachypnea Chronic pain Weight loss Poor weight gain .

Warm the baby using skin to skin contact.switch of fan and air condition. best technique is kangaroo mother care(keep the baby in mother's chest) Avoid contact with cold surfaces e. Immediate drying.g. remove wet or cold clothing if present. .Management of Hypothermia A hypothermic baby should be warmed as quickly as possible. weighing Appropriate clothing and bedding(cover baby's head) Warm transportation Breast feed frequently Train and aware healthcare providers. Warm delivery room(>25c). Warm resuscitations.


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