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Cesarean section is a common method of delivery worldwide today. According to WHO, cesarean section accounts for more than 1 in 5 (21%) of all births, and it is predicted that approximately one-third (29%) of births will be by cesarean section by 2030. Although cesarean section is a vital and life-saving surgery, it can unnecessarily put mothers and babies at risk for short- and long-term health problems when performed without a medical necessity. Unintended perioperative hypothermia, defined as the inadvertent lowering of core temperature below 36°C during surgery, is a well-known complication of anesthesia. Hypothermia can increase the risk of infection by suppressing the immune system, prolonging the recovery process, and triggering postpartum complications. Maintaining maternal body temperature during cesarean section helps reduce postoperative complications, reduce the risk of infection, and accelerate the recovery process. It is also critical for the health of the baby. Keeping the newborn's body temperature stable can help minimize risks such as hypoxia at birth. However, there are increasing studies showing that temperature control is not only limited to maternal health but also has serious effects on the baby after birth. Therefore, it is understood that maintaining body temperature during cesarean section is an important factor in improving the quality of life for both individuals. This article aims to deeply examine the role of temperature control during cesarean section on maternal and fetal health and the benefits of this intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Warming group | Experimental | When the pregnant women in the experimental group were laid on the operating table, they were heated from the back with a heating pad. The heating pad remained on the pregnant woman's back throughout the cesarean section. The cesarean section took an average of 35 minutes from the first surgical incision to the completion of the incision after spinal/epidural anesthesia. |
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| Control Group | No Intervention | The patients in this group are given routine care practices of the clinic. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Warming group | Other | When the pregnant women in the experimental group were laid on the operating table, they were heated from the back with a heating pad. The heating pad remained on the pregnant woman's back throughout the cesarean section. The cesarean section took an average of 35 minutes from the first surgical incision to the completion of the incision after spinal/epidural anesthesia. |
| Measure | Description | Time Frame |
|---|---|---|
| Concerns of pregnant women who are warmed by a heating pad | Anxiety of pregnant women warmed with a heating pad will be measured with the Trait Anxiety Inventory (STAI). It is indicated by selecting one of the following options: "(1) None, (2) A Little, (3) A Lot and (4) Completely". | Questions will be asked half an hour before the caesarean section |
| Measure | Description | Time Frame |
|---|---|---|
| Thermal Comfort of Pregnant Women Warmed with a Heating Pad | The Thermal Comfort scale will be used to measure the pregnant women's comfort after the Caesarean section, which was warmed with a heating pad. | will be measured half an hour after the cesarean section |
| Measure | Description | Time Frame |
|---|---|---|
| The effect of warming pregnant women with a heating pad on the Apgar scores of their babies | The Apgar score of the baby born after cesarean section will be evaluated at the 1st and 5th minutes. | |
| Effect of heating pad on shivering of pregnant women | The heating pad will be measured with the shivering scale in pregnant women. Zero means no shake, while 3 means the worst possible shake. |
Inclusion Criteria:• Being 19 years of age or older pregnant
Exclusion Criteria: •Having comorbidities that require emergency delivery or accompany it (severe preeclampsia, bleeding placenta previa, abruption placenta, cord prolapse, fetal distress)
Pregnant women are eligible to work
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| SİNEM ÖZTÜRKLER | Contact | +90 262 4759 | sinem.ozturkler@kocaeli.edu.tr |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28514320 | Background | Munday J, Osborne S, Yates P, Sturgess D, Jones L, Gosden E. Preoperative Warming Versus no Preoperative Warming for Maintenance of Normothermia in Women Receiving Intrathecal Morphine for Cesarean Delivery: A Single-Blinded, Randomized Controlled Trial. Anesth Analg. 2018 Jan;126(1):183-189. doi: 10.1213/ANE.0000000000002026. | |
| 42322342 |
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| will be measured half an hour before and half an hour after the caesarean section |
| warming affects serum cortisol level of newborns | After birth, blood will be taken from the umbilical cord and serum cortisol levels will be checked. |
| Ozturkler S, Ozhanli Y, Sahin A, Simsek A, Cakir A. Effect of Active Rewarming on Normothermia, Maternal and Neonatal Outcomes in Elective Cesarean Section: A Randomized Controlled Trial. J Perianesth Nurs. 2026 Jun 19:S1089-9472(26)00184-X. doi: 10.1016/j.jopan.2026.05.029. Online ahead of print. |