Recent discussions
-
Bettina Figueira
The maintenance of the adequate temperature of the newborn(NB) is an important issue in stabilization at birth, since both hyper and unscheduled hypothermia are able to negatively modify the evolution of the neonate. The early skin-to-skin contact of the NB with his/her mother has been shown to be importante not only in maintainnig body temperature but also in the humanization, bonding, initiation and maintenance of breastfeeding with its beneficial both in the neonatal out come and in the future life of this small being. Considering a tropical country like ours, most newborns with gestational age of 34 weeks or more who do not require resuscitation interventions, stay well with skin-to-skin contact with their mother, covered (not wrapped) by a sterile cloth. In the impossibility of performing skin-to-skin contact due to some maternal limitation, for example, the routine measures of receiving the NB in pre warmed cloth, drying, removing the wet clots and positioning under radiant warmer, apparently has not been shown to be effective in preventing hypothermia in these newborns (Lunze 2013). Additional measures for temperature maintenance should be based on the assessment of local reality and ideally on the monitoring of the newborn`s body temperature. The increase in ambiente room temperature from 20° to 23°C is an objective measure that may contribute to the prevention of hypothermia in those births that occur in a surgical hospital environment. Wrap the NB or put him in a plastic bag before placing on the skin-to-skin contact with the mother, results in the loss of exactly the skin-to-skin contact and we do not know if there will be or not a lost of the benefits described by this technique in breastfeeding and mother-baby bonding. In babies who, for some reason, are not eligible for this early contact, wrapping or placement in plastic bag, may be a good option to maintain temperature. -
LEONARDO DE SIQUEIRA
Very important maintaining a normal temperature after birth to all preterm and term infants. -
Jaqueline Tonelotto
I agree with recomendation of operating room temperature to 23ºC, we already practice it. -
Jamson Barreto
Maintenance of temperature in all the newborns, regardless the gestacional age is clearly important. I think that the most effective strategy to avoid low temperatures at the admission in NICUs or postnatal ward must be combined, since the admission of the mother inside the surgical room, maintaining her normothermia, till the control of temperature of the admission rooms or the use of adequate devices to keep the newborn warmed. -
Luiz Henrique Gamba
It is very important! We do it every days in our service -
Giselda Silva
the use of a plastic bag in an extremely premature baby tries to guarantee normothermia, but the skin-to-skin contact of a stable NB actually maintains the initial heating, even due to the variation in maternal temperature, which helps in these cases. thus, the use of the plastic bag should be taken into account in extremely premature infants who are not well or after 30 to 60 seconds of contact with the mother. -
Antonia Rosália Belchior Linhares Garcia
1- MONITORAMENTO DA FREQUENCIA CARDIACA COM MONITOR CARDIACO COM TRES ELETROLDOS É O MÉTODO QUE PERMITE DETECÇÃO SEGURA, RÁPIDA E CONTÍNUA DA FC E CONDUÇÃO DE REANIMAÇÃO NEONATAL NA SALA DE PARTO. 2- OXÍMETRO DE PULSO 3- NA SALA DE PARTO AUSCULTA DO PRECORDIO COM ESTETOSCÓPIO POR SEIS SEGUNDOS E MULTIPLICA POR 10. -
Antonia Rosália Belchior Linhares Garcia
ASPIRAÇÃO DE LÍQUIDO AMINIÓTICO CLARO NO NASCIMENTO, NÃO DEVERÁ SER REALIZADA, EXCETO NO RECÉM-NASCIDO QUE ESTEJA COM EXCESSO DE SECREÇÃO CAUSANDO OBSTRUÇÃO DAS VIAS AÉREAS. -
Silvia Heloisa Moscatel Loffredo
Analyzing the risk-benefit ratio of clear amniotic fluid aspiration in newborns at birth, I believe that it should be performed only if there is airway obstruction. -
Andrea Lube
I believe that with the development of new technologies that are easier to use, the monitoring of respiratory function will bring benefits in the future. In any case, training the team to use the equipment is essential. For services where financial resources are scarce, ventilation training, with clinical quality assessment is what will make a difference in the results.