Temperatura all’ammissione al nido dei neonati sani dopo skin to skin

CONCLUSIONI

Questo lavoro ha evidenziato una prevalenza di ipotermia neonatale che, rispetto ai dati della letteratura, non è bassa, anche se verosimilmente risulterebbe inferiore se avessimo a disposizione i dati di tutti i bambini.
Le modifiche che si potrebbero mettere in atto per migliorare la TC neonatale sono:
- monitoraggio più preciso (con valori solo numerici in cartella) della TC, e più frequente (anche a 90’ e prima del bagnetto?);
- interventi correttivi in tutti i casi di TC< 36,5°C e controlli seriati delle modificazioni della TC;
- nei neonati asintomatici, stabilire una soglia di TC sotto la quale fare sistematicamente i controlli glicemici.

Come è logico aspettarsi, essendo la popolazione costituita da neonati sani, a termine o late preterm, non si sono verificati eventi avversi significativi nei neonati ipotermici; non per questo però può venire meno l’attenzione alla TC del neonato, che, nel caso di questa casistica, è risultata non ottimale.

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Rivista Italiana on line "LA CARE" Volume 20, Numero 1, anno 2021