title: Effect of delivery mode on postpartum neonatal body temperatures.
abstract: OBJECTIVE
  It is known that general and local anesthesia practices disrupt the delicate balance of thermoregulation center which is already sensitive to very tiny differences of temperatures in a normal subject. We aimed to evaluate and compare the rectal temperatures of newborns born with normal vaginal delivery and cesarean section.
  
  
  METHODS
  We performed a prospective study of 106 term newborn - 40 born with normal vaginal delivery (group 1) and 66 born with cesarean section [51 spinal anesthesia (group 2), 15 general anesthesia (group 3)]. Only term babies were included in the study. Babies of eclamptic, pre-eclamptic and diabetic mothers and babies with chronic systemic diseases were excluded. Pregnants who underwent elective cesarean section were included in the study. Adolescent pregnants, pregnants with increased risks and pregnants with complicated operations were excluded. Mothers' temperatures were measured before and after the interventions. Rectal temperatures of the babies were measured immediately after birth.
  
  
  RESULTS
  Environmental temperature was maintained at 22-24 °C. Pre-operative mother temperatures were 36.31 ± 0.30 °C in group 1, 36.36 ± 0.26 °C in group 2 and 36.39 ± 0.19 °C in group 3 (p = 0.414). Post-operative mother temperatures were 36.39 ± 0.27 °C in group 1, 36.29 ± 0.31 °C in group 2 and 36.25 ± 0.28 °C in group 3 (p = 0.215). Rectal temperatures of the babies born with normal vaginal delivery were significantly higher than the others. It was lowest in the general anesthesia group (37.5 ± 0.6 °C, 37.2 ± 0.2 °C and 36.8 ± 0.4 °C in group 1, 2 and 3, respectively). The temperature differences between groups were statistically significant p < 0.001).
  
  
  CONCLUSIONS
  In conclusion, it is worthy to note that temperatures of the newborns can differ according to the delivery mode. Physicians and health professionals that take care of the newborns should be aware of this difference.
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Naci
authors.initials: N
authors.lastname: Topaloğlu
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Fatih Köksal
authors.initials: FK
authors.lastname: Binnetoğlu
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Şule
authors.initials: Ş
authors.lastname: Yıldırım
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Mustafa
authors.initials: M
authors.lastname: Tekin
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Nazan
authors.initials: N
authors.lastname: Kaymaz
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Hakan
authors.initials: H
authors.lastname: Aylanç
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Fatih
authors.initials: F
authors.lastname: Battal
authors.affiliation: b Department of Anesthesiology and Reanimation, Medical Faculty .
authors.forename: Hasan Ali
authors.initials: HA
authors.lastname: Kiraz
authors.affiliation: c Department of Obstetrics and Gynecology, Medical Faculty , Çanakkale Onsekiz Mart University , Çanakkale , Turkey , and.
authors.forename: Meryem
authors.initials: M
authors.lastname: Gencer
authors.affiliation: a Department of Pediatrics, Medical Faculty .
authors.forename: Esra
authors.initials: E
authors.lastname: Başer
authors.affiliation: d Department of Anesthesiology and Reanimation, Medical Faculty , Dokuz Eylül University , İzmir , Turkey.
authors.forename: Volkan
authors.initials: V
authors.lastname: Hancı
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D001831:Body Temperature; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn / Q000502:physiology*; D011247:Pregnancy; D011446:Prospective Studies; D055815:Young Adult
keywords: Anesthesia general; cesarean section; delivery; newborn; spinal; thermoregulation; vaginal