Comparison Of IMD Method, Plastic Wrap, And Conventional Care On Prevention Of Reduction Of Body Temperature Of New Baby

Diah Eka Nugraheni, Kosma Heryati
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Abstract

Newborns lose heat four times larger than adults, resulting in a decreasing temperature. In the first 30 minutes, the baby can experience a temperature decrease of 3-4 0 C. In a room with a temperature of 2025 0 C the baby's skin temperature drops around 0.3 0 C per minute. The temperature reduction is caused by heat loss by conduction, convection, evaporation, and radiation. Various methods of preventing heat loss in newborns include the use of plastic bags and early breastfeeding initiation (IMD) methods which can reduce heat loss in newborns. Early breastfeeding initiation is a simple intervention that has the potential to improve neonatal outcomes significantly and should be universally recommended. In Maternity Room of M. Yunus Hospital in Bengkulu using a fan with a temperature between 260 C 270 C which caused a significant temperature difference with the temperature in the mother's womb. Type of research used is quasi-experimental with the design of "One Group Pretest-Postest." The population in this study were newborns in RSMY Kota Bengkulu. With as many samples as people calculated based on the Frederer formula, totaling 24 people. In the statistical test, it was found that there was a significant difference between the plastic wrap group and the conventional treatment group (mean difference 0.275, Sig = 0.026), there was no significant difference between the plastic wrap group and the IMD group (mean difference = 0.1, Sig = 0.792) A wrap can be applied to the immediate treatment of new normal babies to prevent heat loss if the IMD experience obstacles. Key points: Early Breastfeeding Initiation IMD, Plastic Wrap, Decreasing Body Temperature
IMD法、保鲜膜与常规护理预防新生儿体温降低的比较
新生儿失去的热量是成年人的四倍,导致体温下降。在最初的30分钟内,婴儿的体温会下降3-4℃。在温度为2025℃的房间里,婴儿的皮肤温度每分钟下降0.3℃左右。温度降低是由传导、对流、蒸发和辐射造成的热损失引起的。防止新生儿热损失的各种方法包括使用塑料袋和早期母乳喂养方法,这些方法可以减少新生儿的热损失。早期母乳喂养是一种简单的干预措施,有可能显著改善新生儿结局,应得到普遍推荐。在Bengkulu的M. Yunus医院的产房,使用温度在260 - 270摄氏度之间的风扇,这与母亲子宫内的温度有很大的差异。使用的研究类型为准实验,设计为“一组前测后测”。本研究的人群为哥打明古鲁RSMY的新生儿。样本和人数一样多根据弗雷德勒公式计算,总共24人。在统计检验中发现,保鲜膜组与常规治疗组有显著性差异(平均差异0.275,Sig = 0.026),保鲜膜组与IMD组无显著性差异(平均差异= 0.1,Sig = 0.792)。如果IMD出现障碍,可以在新生正常婴儿的即时治疗中应用保鲜膜,防止热损失。重点:母乳喂养早期开始,保鲜膜,降低体温
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