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Neonatal thermoregulation

VOLUME 3 ISSUE 3 2007101infantTHERMOREGULATION 2007 SNL All rights reserved Hypothermia at birthImmediately after delivery if no action istaken, the core and skin temperatures of aterm neonate can decrease at a rate ofapproximately C and C per minuterespectively9. The World HealthOrganisation defines mild hypothermia asa core body temperature of 36 C,moderate hypothermia as C-32 C andsevere hypothermia as less than 32 C10. Therapid decline in temperature is mainly dueto physical characteristics of the newbornand environmental factors of the deliveryarea.

All neonates are at risk of hypothermia within the first twelve hours of life, particularly the extremely premature and growth retarded infants. Other risk factors include abnormal skin integrity including gastroschisis, exomphalos and neural tube defects and neonates with neurological impairment – global or to the hypothalamus in particular.

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