An observational study looking at effects of hypothermia on women and babies during emergency LSCS

Project objectives
Our primary endpoint is to determine the proportion of patients undergoing emergency
caesarean section suffering from IPH. However, our overarching aims are to determine
potential risk factors for developing IPH and the complications and problems associated
with IPH.

The primary objectives of the project are to:
– identify the incidence of hypothermia (defined as body temperature of less than
36.0 ºC on admission to the recovery room) after emergency caesarean section
– identify the incidence of complications that may be associated with hypothermia after emergency Caesarean section.

These may include:
– Increased bleeding
– Increased Haemoglobin (Hb) drop
– Increased shivering
– Increased pain
– Increased wound infection
– Reduced APGAR scores
– Worse neonatal umbilical blood gases

Secondary data points to record and evaluate:
– the level of thermal comfort during emergency Caesarean section
– women’s age and gestation at time of operation
– the women’s weight and body mass index (BMI) at booking
– operating theatre temperatures at the start of the case
– duration of operations
– clinician-estimated blood loss
– change in perioperative blood Hb level
– volume of IV fluid administered, whether IV fluids were warmed, or if any other
warming devices were used
– pain in recovery and on subsequent days
– neonatal Apgar scores and umbilical (arterial and venous) pH and base excess.