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| Analysis of the influerce factors of hypothermia of women during cesarean section because of placenta previa |
| The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210000 |
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Abstract To investigate the related factors of hypothermia of women during cesarean section because of placenta previa. Methods: A total of 227 pregnant women with placenta previa who were scheduled for cesarean section in the hospital were selected as the study subjects between January 2021 and January 2024. The incidence of the intraoperative hypothermia of the women was recorded. These women were divided into group A (women with hypothermia) and group B (women without hypothermia) based on the occurrence of hypothermia during surgery. The clinical data of the women were compared between the two groups. Logistic regression analysis was used to identify the factors influencing the occurrence of the intraoperative hypothermia of the women. Results: In 227 pregnant women during cesarean section, there were 45 with hypothermia, and with an incidence of 19.8%. The proportion of the adverse psychological state and the intraoperative fluid loss of the women in group A were significantly higher than those of the women in group B. The proportions of the active body temperature preservation, the preoperative systematic psychological education and the body temperature value of the women in group A after anesthesia were significantly lower than those of the women in group B, and the duration of active body temperature preservation of the women in group A was significantly shorter than that of the women in group B (all P<0.05). Logistic regression analysis showed that the large amount of the intraoperative fluid loss and the bad psychological state of the women were the risk factors of their intraoperative hypothermia, while the higher body temperature value after anesthesia, the active body temperature preservation and the long duration of body temperature preservation of the women were the protective factors of their intraoperative hypothermia (all P<0.05). Conclusion: The adverse psychological status, the intraoperative fluid loss, the active body temperature preservation during surgery, the post-anesthesia body temperature value, and the duration of active body temperature preservation of the women are all associated with their intraoperative hypothermia during cesarean section because of placenta previa. The clinical practices should include the reasonable preventive measures based on these influencing factors to reduce the hypothermia occurrence during cesarean section.
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