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| Name | Class |
|---|---|
| Cigdem Yucel | UNKNOWN |
| Ozgur Ozyuncu | UNKNOWN |
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During the cesarean section; Hypothermia can be seen due to reasons such as anesthesia, premedication drugs, cold operating room environment, exposure of tissues and organs, and use of cold intravenous fluids. Hypothermia associated with cesarean may affect maternal and fetal health negatively. As a result of hypothermia, coagulopathy, infection, undesirable cardiac events that cause an increase in oxygen consumption, delay in postoperative recovery and wound healing, postoperative nausea and vomiting, chills and relief may be observed in the mother. Newborns born from hypothermic mothers have lower body temperature, pH and Apgar scores. It is important to evaluate all women in terms of risk factors in the preoperative period in the prevention of hypothermia and complications related to hypothermia. Prevention of hypothermia, which has negative effects on maternal and newborn health, is one of the risks that the nurse can address independently. Therefore, this research; In order to determine the effect of heating different body areas using compressed air heating technique during cesarean section on hypothermia, tremor, thermal comfort, postpartum comfort and maternal satisfaction, a parallel group was planned as a randomized controlled trial. The study is planned to be conducted in Hacettepe University Adult Hospital Gynecology and Obstetrics Department delivery room and obstetrics service. Research data, Introductory Information Form (Appendix 1), Obstetric and Postpartum Features Form (Appendix 2), Patient Monitoring Form (Appendix 3), Termal Comfort Perception Scale (Appendix 4), Shivering Level Diagnostic Form (Appendix 5), LATCH Breastfeeding The Diagnostic and Measurement Tool (Appendix 6) will be collected using the Visual Analogue Scale (Appendix 7) and the Thermal Comfort Scale that will be developed by the researchers. Pregnant women who meet the inclusion criteria will be included in the research. Women will be divided into 4 groups as the lower extremities are heated, the upper extremities are heated, the whole body is heated, and the control group. According to the group of women; It will be heated 30 minutes before surgery and 30 minutes after surgery with lower limb, upper limb or whole body. Women in the control group will not be heated.
This study was planned as a parallel group randomized controlled study in order to determine the effect of heating different body parts using forced air warming technique during cesarean section on maternal hypothermia, shivering, thermal comfort, the Apgar score of the newborn and breastfeeding.
In the preparation phase of the research; Determining the rate of hypothermia in women applying to the delivery room of Hacettepe University Adult Hospital for planned cesarean section, determining and procuring the devices to be used in the study, and establishing experimental and control groups will be realized.
Body temperatures of women will be measured for 2 weeks in order to determine the rate of hypothermia in women who have had cesarean section in the institution where the study will be conducted. Body temperature of women will be started 30 minutes before the cesarean section and will be measured every 15 minutes until 30 minutes after the operation. By determining the prevalence of hypothermia after cesarean section in women; It is aimed to reveal the necessity of heating with compressed air heating technique.
Applications During Cesarean Surgery
Applications to be Made Within 30 Minutes After Cesarean Surgery
Applications to be Performed in Obstetrics and Gynecology Service after Cesarean Operation
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lower extremities | Experimental | the women's lower extremities will be heated with Forced Air Warming |
|
| upper extremities | Experimental | the women's upper extremities will be heated with Forced Air Warming |
|
| whole body | Experimental | the women's whole body will be heated with Forced Air Warming |
|
| control group | No Intervention | there is no intervention for this group |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Forced Air Warming | Other | We will use Forced Air Warming for cesarean patient |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maternal Hypothermia | Maternal hypothermia is defined as body temperature falling below 36 ° C. | 30 minutes before the intervention to 30 minutes after the intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Shivering | Shivering is a bodily function in response to cold in humans | 30 minutes before the intervention to 30 minutes after the intervention. |
| Thermal Comfort | Thermal comfort is defined as the condition of mind that expresses satisfaction with the thermal environment. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ozgur Ozyuncu, PhD | Hacettepe University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | Ankara | 06100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
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| ID | Term |
|---|---|
| D007035 | Hypothermia |
| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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parallel group randomized controlled study
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| 30 minutes before the intervention to 30 minutes after the intervention. |
| Apgar Score | An objective score of the condition of a baby after birth. This score is determined by scoring the heart rate, respiratory effort, muscle tone, skin color, and response to a catheter in the nostril. | 30 minutes before the intervention to 30 minutes after the intervention. |
| Breastfeeding Timing | The time between the start of breastfeeding of the newborn after birth | 30 minutes before the intervention to 30 minutes after the intervention. |
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