Effect of Warming cap and sock to prevent hypothermia and shivering in maternal undergoing cesarean section under spinal anesthesia in Maesai hospital.
Keywords:
Cesarean section mothers, Hypothermia, ShiveringAbstract
This quasi-experimental, two-group study aimed to examine the effects of using a warm hat and warm foot socks on preventing hypothermia and shivering in post-cesarean section mothers who underwent spinal anesthesia. The sample consisted of 47 post-partum mothers at Mae Sai Hospital, Chiang Rai Province, divided into an experimental group and a control group. The study was conducted between February 2025 and June 2025. A pre- and post-test design was used. The research instruments included a patient data record form with content validity (IOC) of 0.89, and a shivering monitoring form with content validity (IOC) of 1. The tools included a warm hat and warm foot socks. Data were analyzed using descriptive statistics and an independent t-test. The results revealed that post-cesarean section mothers in the group receiving conventional body warming combined with a warm hat and warm foot socks had significantly higher mean body temperature than those in the group not using a warm hat and warm foot socks at all time points (p < 0.05), and had significantly lower shivering levels than the control group (p < 0.05). The results indicated that using a warm hat and... Foot warmers can effectively prevent hypothermia and reduce shivering in mothers undergoing cesarean sections.
References
Allen, T. K., Habib, A. S., & Levine, W. C. (2018). Perioperative temperature management in cesarean delivery: What is the evidence? Current Opinion in Anaesthesiology, 31(3), 292–297.
https://doi.org/10.1097/ACO.0000000000000592
Bernard, H. R. (2000). Social research methods: Qualitative and quantitative approaches. Sage Publications.
Buggy, D. J., & Crossley, A. W. (2000). Thermoregulation, mild perioperative hypothermia and post-anaesthetic shivering. British Journal of Anaesthesia, 84(5), 615–628. https://doi.org/10.1093/bja/84.5.615
Butwick, A. J., Lipman, S., & Carvalho, B. (2007). Intraoperative forced air-warming during cesarean delivery under spinal anesthesia does not prevent maternal hypothermia. Anesthesia & Analgesia, 105(5), 1413-1419. https://doi.org/10.1213/01.ane.0000286167.96410.27
Chen, W.-A., Liu, C.-C., Mnisi, Z., Chen, C.-Y., & Kang, Y.-N. (2019). Warming strategies for preventing hypothermia and shivering during cesarean section: A systematic review with network meta-analysis of randomized clinical trials. International Journal of Surgery, 71, 21–28. https://doi.org/10.1016/j.ijsu.2019.09.006
Chung, S. H., Lee, B.-S., Yang, H. J., Kweon, K. S., Kim, H.-H., Song, J., & Shin, D. W. (2012). Effect of preoperative warming during cesarean section under spinal anesthesia. Korean Journal of Anesthesiology, 62(5), 454–460. https://doi.org/10.4097/kjae.2012.62.5.454
Feng, G., Wang, Y., Feng, J., Luo, X., Li, C., & Yao, S. (2021). The relationship between core temperature and perioperative shivering during caesarean section under intrathecal anesthesia with bupivacaine and ropivacaine: A randomized controlled study. Journal of Anesthesia, 35(6), 889–895. https://doi.org/10.1007/s00540-021-02995-9
Kumar, K., Lin, C., Symons, T., & Railton, C. (2023). Narrative review on perioperative shivering during caesarean section under neuraxial anaesthesia. Romanian Journal of Anaesthesia and Intensive Care, 29(1), 41–46. https://doi.org/10.2478/rjaic-2022-0006
Horn, E. P., Bein, B., Böhm, R., Steinfath, M., Sahili, N., & Höcker, J. (2012). Effect of preoperative warming during cesarean section under spinal anesthesia. Korean Journal of Anesthesiology, 62(5), 454-459. https://doi.org/10.4097/kjae.2012.62.5.454
Hoefnagel, A. L., Vanderhoef, K. L., Anjum, A., Mohamad, Z., Trang, C., Washington, T., et al. (2020). Perioperative active warming in combination with passive warming techniques to prevent inadvertent hypothermia during cesarean delivery: A retrospective observational cohort study. BMC Anesthesiology, 20(1), 90. https://doi.org/10.1186/s12871-020-01008-2
Matsukawa, T., Sessler, D. I., Sessler, A. M., Schroeder, M., Ozaki, M., & Kurz, A. (1995). Heat flow and distribution during induction of general anesthesia. Anesthesiology, 82(3), 662-673. https://doi.org/10.1097/00000542-199503000-00008
Moola, S., & Lockwood, C. (2011). Effectiveness of strategies for the management and/or prevention of hypothermia within the adult perioperative environment: A systematic review. International Journal of Evidence-Based Healthcare, 9(4), 337–345.
https://doi.org/10.1111/j.1744-1609.2011.00227.x
Polit, D. F., & Beck, C. T. (2017). Essentials of nursing research (9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Sessler, D. I. (1997). Perioperative heat balance. Anesthesiology, 87(2), 289-298. https://doi.org/10.1097/00000542-199708000-00016
Sessler, D. I. (2008). Temperature monitoring and perioperative thermoregulation. Anesthesiology, 109(2), 318-338.
https://doi.org/10.1097/ALN.0b013e31817f6d76
Sultan, P., Habib, A. S., Cho, Y., & Carvalho, B. (2015). The effect of patient warming during Caesarean delivery on maternal and neonatal outcomes: A meta-analysis. British Journal of Anaesthesia, 115(4), 500–510. https://doi.org/10.1093/bja/aev325
Sun, Z., Honar, H., Sessler, D. I., Dalton, J. E., Yang, D., Panjasawatwong, K., et al. (2015). Intraoperative core temperature patterns, transfusion requirement, and hospital duration in patients warmed with forcedair.Anesthesiology, 122(2), 276-285.
https://doi.org/10.1097/ALN.0000000000000551
Torossian, A., Bräuer, A., Höcker, J., Bein, B., Wulf, H., & Horn, E. P. (2016). Preventing inadvertent perioperative hypothermia. Deutsches Ärzteblatt International, 113(7), 107-112.
https://doi.org/10.3238/arztebl.2016.0107
Xu, H., Zhou, T., Xie, C., Lin, C., Wu, Y., & Salmon, J. W. (2021). Value of active warming devices for intraoperative hypothermia prevention: A meta-analysis and cost-benefit analysis. International Journal of Environmental Research and Public Health, 18(21), 11360. https://doi.org/10.3390/ijerph182111360
Zhang, Y.-W., Zhang, J., Hu, J.-Q., Wen, C.-L., Dai, S.-Y., Yang, D.-F., Li, L.-F., & Wu, Q.-B. (2019). Neuraxial adjuvants for prevention of perioperative shivering during cesarean section: A network meta-analysis following the PRISMA guidelines. World Journal of Clinical Cases, 7(16), 2287–2301. https://doi.org/10.12998/wjcc.v7.i16.2287
Zhuo, Q., Xu, J.-B., Zhang, J., & Ji, B. (2022). Effect of active and passive warming on preventing hypothermia and shivering during cesarean delivery: A systematic review and meta-analysis of randomized controlled trials. BMC Pregnancy and Childbirth, 2(2), 720. https://doi.org/10.1186/s12884-022-05054-7
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