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Experimental Result Paper | Obstetrics and Gynecology | India | Volume 13 Issue 10, October 2024 | Popularity: 7.1 / 10

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Evaluating the Effectiveness of Foot Cover Lappet in Managing Hypothermia and Sleep Patterns in Newborns in Selected Hospitals at Meerut

Ex. Capt. Dr. Geeta Parwanda, Shrishti Singh

Abstract: Introduction: Newborns are vulnerable to hypothermia due to their limited adipose tissue and thin skin. They also have difficulty regulating their body temperature. Hypothermia is especially critical during the first five days of life, as it is associated with a mortality rate that is five times higher. Premature infants are at increased risk of hypothermia. It is important to establish strategies to ensure normothermia from birth throughout the hospital stay. Caregivers play a crucial role in comprehending the consequences of temperature fluctuations and their impact on newborns. Newborns sleep in a distinct pattern, with around 8 to 9 hours of daytime sleep and an equivalent duration at night. However, their sleep is typically fragmented, lasting only 1 to 2 hours at a time. Achieving uninterrupted sleep of 6 to 8 hours usually begins around the three - month mark or when infants reach a weight of 5 to 6 kilograms. Neonatal mortality rates have decreased significantly in recent decades, but hypothermia remains a leading cause of death in newborns. Caregivers can play a vital role in preventing hypothermia by understanding the risks and taking appropriate measures to maintain a warm and healthy environment for infants. Objectives of the Study: 1) To design and validate the comfort device i. e., foot cover lappet for newborns. 2) To evaluate the effectiveness of foot cover lappet on the level of temperature & sleep pattern among neonates in the experimental group. 3) To compare the post - test score of the temperature and sleep pattern level in the experimental and control group. 4) To find out the association between the pre - test score of levels of temperature with their selected demographic variables. Methods: The study was to evaluate the effectiveness of foot cover lappet among Newborns with hypothermia. The instruments used for this study were a ear thermometer and a smartwatch. A total of 60 newborns (30 experimental +30 Control group) were selected for the study as per the inclusion and exclusion criteria of the selection of the sample, 30 newborns were allotted for the experimental group with the administration of foot cover lappet and 30 allotted for the control group were given no intervention. The nature and purpose of the study were explained, and Demographic data were collected from the parents of newborns an ear thermometer and a smartwatch were used for assessing the temperature levels and sleep patterns respectively among newborns. Result: 1) Majority of the newborns were 1 - 3 days of age in both the control and experimental group. 2) The majority of the newborns had hypothermia and less sleep hours during the pre - test day in both the experimental and control groups. 3) Majority of the newborns were born at the gestational age of 37 weeks, 38 weeks, and 39 weeks. 4) Majority of the newborns were born via LSCS and in both experimental and control groups. 5) Majority of the newborns were born with birth weight of 2.4 - 2.9 kgs and in both experimental and control group. 6) Majority of the newborns were having moderate hypothermia on day 1 of data collection in both the experimental and control groups. 7) In the present study majority of the newborns had moderate hypothermia on day 1 of data collection in both the experimental and control groups. 8) In the study, on day 1st pre - test temperature scores and sleep hours were very less for both experimental and control groups simultaneously it improved on day 2 &3. 9) In the experimental group pre - test, there were 43.30% of the newborn had mild hypothermia, 30% of newborns had moderate hypothermia, 26.6% of newborns with low hypothermia compared to the post - test there was an increase in the percentage of 73.3% of newborns with low hypothermia, and the newborns with moderate hypothermia reduced to 16.6% and newborns with mild hypothermia were reduced to 10%. In the experimental group, the t - value for temperature was 17.7, for sleep pattern it was 10.9, In the control group, the t - value for temperature was 0.065, for sleep pattern it was 1.85, 10 - As per the study the association of the pretest of hypothermia with selected demographic variables there was a significant association between hypothermia and, age of the baby, and mode of delivery. Conclusion: The result of the study shows that foot cover lappet had an effective result on the level of hypothermia and sleep pattern and it could be used for the same purpose for the well - being of newborns with hypothermia and sleep pattern disruption due to it.

Keywords: Newborns, Hypothermia, Sleep Pattern, Foot Cover Lappet, Temperature Control

Edition: Volume 13 Issue 10, October 2024

Pages: 365 - 372

DOI: https://www.doi.org/10.21275/SR241001034241

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