What is Temperature Instability?
Temperature instability refers to the inability of a newborn to maintain a stable body temperature. This can manifest as hypothermia (too low) or hyperthermia (too high). Newborns, especially preterm infants, are particularly susceptible to temperature instability due to their immature
thermoregulatory system.
How is Temperature Instability Diagnosed?
Diagnosis involves careful monitoring of a newborn's body temperature using a reliable
thermometer. Additional assessments may include monitoring vital signs, physical examinations, and possibly laboratory tests to identify any underlying conditions contributing to the instability.
Prematurity Environmental conditions (e.g., cold delivery rooms)
Infections like
sepsis Neurological conditions
Metabolic disorders
How is it Managed?
Management involves several strategies to ensure the newborn maintains a stable body temperature:
Using
incubators or
radiant warmers to provide a controlled environment
Ensuring the infant is properly clothed and swaddled
Monitoring room temperature
Skin-to-skin contact (also known as
Kangaroo Care)
Managing underlying conditions, such as treating infections
What are the Long-term Effects?
Untreated temperature instability can lead to severe complications such as metabolic imbalances, increased risk of
infections, and in extreme cases, neurological damage. Early detection and appropriate management are crucial to prevent these long-term effects.
Maintaining an appropriate delivery room temperature
Immediate drying and swaddling of the newborn after birth
Early initiation of
breastfeeding Regular monitoring of the newborn's body temperature
Educating parents and caregivers about the importance of maintaining a stable temperature
