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Journal of Tropical Pediatrics 1995 41(6):360-363; doi:10.1093/tropej/41.6.360
© 1995 by Oxford University Press
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The Effects of Medically-orientated Labour Ward Routines on Prefeeding Behaviour and Body Temperature in Newborn Infants

U. M. Jansson, RN*,**,*, T. Mustafa, MD***, M. A. Khan, MD, PhD***, B. S. Lindblad, MD, PhD{dagger} and A-M. Widström, MTD, PhD{dagger}{dagger}

*Department of Woman and Child Health, Karolinska Hospital/St Gorans Hospital, Karolinska Institute Stockholm Sweden
**Department of Pediatrics 1, Gothenburg University Sweden
***The Childrens Hospital, Pakistan Institute for Medical Sciences Islamabad, Pakistan
{dagger}Department of Paediatrics, Aga Khan University Karachi Pakistan
{dagger}{dagger}Stockholm University College of Health Sciences Stockholm, Sweden

Correspondence: M. Jansson, Department of Pediatrics I, East Hospital, S-416 85 Gothenburg, Sweden.

The effects of medically-orientated labour ward routines were studied during the first hour after birth, in 48 vaginal, single deliveries.

All infants were immediately separated from their mothers and left on a resuscitation table. There was no significant difference in onset of crying if the infant received cutaneous stimulation or not. It was found that 17 infants, not showing hand-to-mouth activity, were bathed at an average time of 17 min (12–23 min) after birth, while those who did were bathed at 28.5 (24.5–41.5) min (P = 0.002). One infant was breastfed during the first hour. Being separated from its mother, bathed early, and swaddled after birth seemed to interfere with the infant's inborn ability to signal hunger.

Forty-one infants were hypothermic at 1 hour. According to a multiple regression analysis infant body temperature at 60 min of age corresponded positively with birthweight (P = 0.0001) and time of oxygen administration (P = 0.0002). A plausible explanation for the effect of oxygen exposure is that there is brown fat inactivatioo in normal newborn infants and administration of oxygen activates the brown fat. It might be advantageous to let the mother keep the baby warm, rather than manipulate the baby's metabolism with oxygen.


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