The Effect of Using Heated IV Fluids With Underbody Warmers on Maternal and Neonatal Well-Being in Cesarean Delivery Operations: A Randomized Clinical Trial.
Dilek Talhaoğlu, Mürüvvet Başer, Mahmut Tuncay Özgün
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In 30 seconds
This randomized clinical trial at a university hospital compared underbody warming alone, underbody warming plus heated IV fluids, and passive blanket heating in 105 pregnant patients undergoing cesarean delivery. Primary outcomes were maternal and neonatal temperatures; secondary outcomes included maternal recovery measures and neonatal markers. The intervention groups had significantly higher neonatal temperatures, Apgar scores, and maternal intraoperative temperatures. Active warming was also associated with lower neonatal cortisol levels, reduced analgesic use, and faster recovery, although the abstract does not provide numerical effect estimates.
Key findings
- Neonatal temperature, Apgar scores, and maternal intraoperative temperature were significantly higher in the active-warming groups.
- Active warming was associated with lower neonatal cortisol levels and reduced maternal analgesic use.
- Maternal recovery was faster with active warming, including earlier return of gas and urination.
Why it matters
Temperature management during cesarean delivery may affect both maternal perioperative recovery and neonatal adaptation. The reported improvements across temperature, analgesic use, recovery, and neonatal measures suggest that warming approaches merit consideration in evaluating perioperative care, while the abstract does not quantify the size of these benefits.
What to keep in mind
The abstract provides no numerical effect estimates and does not specify follow-up beyond the perioperative outcomes described.