Predictive factors of maternal hypothermia during Cesarean delivery: a prospective cohort study
| Autor: | Céline Riffard, Dominique Chassard, Pierre Boucher, Christine Mullet, Anne-Charlotte Gagey, C. Bonnard, Lionel Bapteste, Brigitte Paturel, B. Cogniat, Lionel Bouvet, F.-P. Desgranges, Marius Pop |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Maternal morbidity Hypothermia Cohort Studies 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Pregnancy Risk Factors 030202 anesthesiology Anesthesiology Humans Medicine Prospective Studies 030212 general & internal medicine Cesarean delivery Perioperative Period Prospective cohort study Skin incision Cesarean Section business.industry General Medicine Perioperative medicine.disease Logistic Models Anesthesiology and Pain Medicine Predictive value of tests Anesthesia Multivariate Analysis Female Observational study medicine.symptom business Cohort study |
| Zdroj: | Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 64:919-927 |
| ISSN: | 1496-8975 0832-610X |
| DOI: | 10.1007/s12630-017-0912-2 |
| Popis: | Although perioperative hypothermia may increase maternal morbidity, active warming is infrequently performed to maintain normothermia during Cesarean delivery (CD). The aim of this prospective observational study was to determine the factors associated with maternal hypothermia in this setting.Women scheduled for elective or emergency CD were consecutively included in this study from November 2014 to October 2015. Maternal temperature was measured using an infrared tympanic thermometer on the patient's arrival in the operating room, at skin incision, and at the end of skin suture. Maternal hypothermia was defined by tympanic temperature36°C at the end of skin suture. Univariate analysis was performed, followed by multivariate logistic regression analysis, in order to determine the factors associated with maternal hypothermia at the end of the surgery.Three hundred fifty-nine women were included and analyzed during this study. The incidence of hypothermia was 23% (95% confidence interval, 18 to 27) among the total population included. According to multivariate analysis, obesity, oxytocin augmentation of labour, and use of active forced-air warming were associated with a decreased risk of maternal hypothermia, while maternal temperature37.1°C on arrival in the operating room, maternal temperature36.6°C at skin incision, and an infused volume of fluids650 mL were significantly associated with maternal hypothermia. Both goodness of fit and predictive value of multivariate analysis were high.Several predictive factors for maternal hypothermia during CD were identified. These factors should be taken into account to help prevent maternal hypothermia during CD. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink