Newborn Body Temperature Research Articles

Maintaining normothermia in newborns and warmed fluids

The most important adaptation of the newborn baby after birth is trying to adapt to the extrauterine environment, which is colder than the intrauterine environment. The World Health Organization; it recommends keeping the axillary body temperature in newborns between 36.5 and 37.5 °C. Attempts to prevent hypothermia and ensure normothermia can be divided into two groups; passive heating and active heating. While the passive heating is maintaining and increasing the ambient temperature, removing wet covers, drying, use of heated towels, hats, clothes and covers, active heating metods can be defined as warmed gel beds, polyethylene cover, warmed gases and warmed liquids.Purpose of warmed intravenous liquids; it is to reduce the contribution of intravenously administered fluids (approximately 25 °C) to hypothermia through convection (heat transfer). There are very limited studies on the use of warmed IV fluids in newborns. Therefore this article is aimed to guide evidence-based studies on different areas including warmed IV liquids, neonatal hypothermia control and neonatal care.

EFFECT OF PAD WARM FOR PREVENTION HYPOTHERMIA IN NEWBORN AT THE HOUSEHOLD LEVEL AT KABUPATEN KARAWANG

Background: The body temperature of newborns is very vulnerable to changes in room temperature, especially during the first day of birth and the neonatal period. Baby care has an important role in ensuring the stability of body temperature during the adaptation period. Prevention of hypothermia in newborns aims to maintain a stable body temperature by avoiding exposure to cold and wind. Most parachute materials contain plastic, the basic ingredients of which are polyester, which have the properties of a waterproof and heat-resistant material, often used as a material for warm jackets in cold climates because of its ability to withstand the wind. Research objective: to determine the effect of a Padwarm or warm sleeping bag in preventing hypothermia in normal newborns. Method: this type of research is Quasy Experiment with the design "One group pre test-post test design" the study sample is 35 normal newborns. The sampling technique is accidental sampling, the analytical test used is the Wilcoxon Signed Rank Test. Results: there is a significant difference between before using Padwarm and after using Padwarm where the average temperature before use was 36.26°C; 95% CI (36.21 -36.31) and the average temperature after use was 36.709°C; 95% CI ( 36.652 -36.765) p value of 0.000. Suggestion: Padwarm warm sleeping bags can be an alternative choice for baby sleeping bags in early neonates.

The Effect of Early Breastfeeding Initiation on Newborn Body Temperature Changes at RSUD.I.A Moeis Samarinda in 2022

Initiation of Early Breastfeeding and Exclusive Breastfeeding during the first 6 months of life prevents around 20% of newborn deaths and 13% of under five deaths. It can also reduce deaths from neonatal infections (sepsis pneumonia, tetanus and diarrhea) which contribute 36% to neonatal deaths. Early breastfeeding initiation (IMD) in South Asia remains low to varying degrees. The purpose of this study was to find out whether there is an effect of IMD on changes in the body temperature of newborns at RSUD.I.A.Moeis in 2022. The design in this study was quasi-experimental with a number of samples. The number of samples in this study were 17 infants with a purposive sampling technique. The paired samples t-test statistic obtained a value of t = -11.6 and p = 0.001 (p <0.05) meaning that there was a significant effect of implementing IMD on increasing the body temperature of newborns (BBL). From the results of the study it can be concluded that there are differences in the body temperature of newborns who have successfully performed IMD and those who have not successfully performed IMD.

The Effectiveness of Early Initiation of Breastfeeding (IMD) in Reducing the Incidence of Hypothermia in Newborn at Ngimbang Lamongan Hospital in 2021

Early initiation of breastfeeding affects the body temperature of newborns, because heat loss in infants is four times greater than in adults. This action as a life saver, early initiation of breastfeeding can also save 22 percent of babies who die before the age of one month. The purpose of this study was to determine the effect of early initiation of breastfeeding on changes in body temperature in newborns. The design of this study used a quasi-experimental approach with pretest and posttest approaches. The sampling method is by accidental sampling. Data were collected by means of observation, and analyzed using a computerized Wilcoxon test with a significance level of P-Sign <0.05. The results showed that almost 90% of newborns before early initiation of breastfeeding experienced a decrease in body temperature and after early initiation of breastfeeding only 10% experienced low body temperature. From the results of statistical testing, the results obtained with Z = -4.243 and P value = 0.000. The conclusion of this study is that there is an effect of early initiation of breastfeeding on changes in body temperature of newborns at Ngimbang Lamongan Hospital in 2021. Looking at the results of this study, it is hoped that midwives will continue to provide early initiation of breastfeeding to every newborn to prevent hypothermia.

The Relationship of Pharmacological Intrathecal Labor Analgesia in Normal Delivery with the Stability of Vital Sign of Newborn

Intrathecal Labor Analgesia (ILA) is a pharmacological therapy technique to reduce delivery pain. The research objective was to determine the relationship between ILA pharmacological therapy in normal delivery and the stability of the vital signs of newborns at X Hospital from January 2018 to May 2020. This study was conducted from September 2020 to January 2021 on 143 normal birth mothers with ILA pharmacological therapy and 943 mothers giving birth normal without pharmacological therapy. The results showed that there was no significant relationship between the APGAR score in the first minute of newborns with ILA pharmacological therapy in normal delivery p value = 0.369, the APGAR score in the fifth minute of newborns with ILA pharmacological therapy in normal delivery p value = 1,000 and the baby's heart rate. newborn with ILA pharmacological therapy in normal delivery p value = 0.616. There is a significant relationship between body temperature of newborns with pharmacological therapy in normal delivery p value = 0.001 and respiratory rate of newborns with pharmacological therapy in normal delivery p value = 0.045. Efforts made include advising mothers to breastfeed on demand, aiming to prevent hypoglycemia, which is a complication that often occurs in hypothermic babies and can cause respiratory problems. Health workers in delivery rooms to be more aware of newborn monitoring.

Overview of Early Initiation Breastfeeding and Increasing Temperature in Newborn

This study aims to determine the description of initiation early breastfeeding and increased body temperature of newborns. This research is an observational study with a cross-sectional design. The study was conducted at the Suratmi midwife maternity clinic in Batam City. The study population was mothers who had just given birth from February to March 2022. The inclusion criteria in this study were mothers who had just given birth at the clinic, aged 20-40 years, and were willing to participate in the study. Sampling was done by the purposive sampling technique. The results showed that the early initiation of breastfeeding (EIB) was achieved by 36 respondents with an increase in temperature of 0.20C as many as 18 respondents (45%) and an increase in temperature of 0.30C by 4 respondents. In conclusion, most of the new mothers have achieved early initiation of breastfeeding and there is an increase in the baby's body temperature of 0.1-0.2OC.

The Influence of Breastfeeding Initiation on Newborn Body Temperature

Newborns are not yet stable in adequate temperature control, making them vulnerable to heat loss. Early breastfeeding initiation is a factor that affects the temperature of the baby. The mother’s skin becomes a thermoregulator or thermal synchrony to warm the baby. The purpose of this research was to determine the influence of early breastfeeding initiation on newborn body temperature. The research was a pre-experimental study with a one-group pretest-posttest design. Participants were newborns born in Midwife Dina Mardiana in July 2019. A digital thermometer was used to measure the baby’s temperature. The data analysis technique used was paired sample t tests. The results showed that early breastfeeding initiation had a significant influence on newborn body temperature (p < 0.001). The average body temperature increased by 0.46724 ∘C after early breastfeeding initiation.
 Keywords: early breastfeeding initiation, newborn body temperature, newborn

The Correlation Between Early Breastfeeding Initiation with The Increase of Newborn’s Body Temperature at Rumah Sehat Cinta Mama Clinic of Tebing Tinggi City in 2017

Abstract
 
 Newborn mortality in Indonesia at 5 years ago is concern because neonatal mortality (0-28 days) contributes 59% of infant deaths. To address this, early initiation breastfeeding management in field of maternal and child health is increasingly encouraged in order to reduce newborn mortality. Newborns often suffer decrease in body temperature, this due to inability newborn maintain body temperature, for baby's body temperature to remain normal than early breastfeeding initiation is one effort to keep baby's body warm. The purpose of this study to determine the relationship of early breastfeeding initiation with the increase newborns body temperature in Rumah Sehat Cinta Mama Clinic Tebing Tinggi City 2017.
 The method of this research was quasi eksperiment with one group pretest posttest design, using primary data that direct observation to respondent. The sampling technique is total sampling its all pregnant women who have interpretations of the birth date in April - July 2017 of 30 respondents.
 The reasult of this research has been showing that of statistic sample pired test which a significant association between early breastfeeding initiation and the increase in body temperature of newborns (? value = 0,000 <0.05). 
 Expected to the Rumah Sehat Cinta Mama Clinic, especially midwife health personnel to improve the quality and quantity of early breastfeeding initiation and involve the husband or family to support implementation of early breastfeeding initiation so as to reduce the newborn mortality rate and the achievement the target of Infant Baby Mortality Rate which the Ministry of Health has established.

Predictors for raised body temperature in term healthy neonates during the 1st days of life: A teaching hospital study

Background: Raised body temperature during the neonatal period is considered an alarming sign of systemic infection. However, infection is not the only cause of a raised body temperature in newborns. Elevations in temperature (>37.5°C) are occasionally noted on the 2nd–3rd day of life in infants who are otherwise healthy and asymptomatic. This disturbance is especially likely to occur in breastfed infants or in infants exposed to high environmental temperatures. Objective: The objective of the study was to find out the important predictors for raised body temperature in full-term infants during the 1st days of life and also the rate of neonatal sepsis among these neonates. Study Design: An observational study was conducted on 50 cases and 50 controls (full-term neonates aged 2–7 days) in a single, tertiary institution in East India over a period of 2 years. Results: Inadequate breastfeeding, weight loss, high birth weight, over clothing, inefficient environmental ventilation, and increased ambient environmental temperature were significantly more common in the study group and hence are the most significant predictors for raised body temperature during the 1st days of life. Out of the 50 babies in the study group, only four had positive sepsis screening. Conclusion: Raised body temperature in asymptomatic full-term breastfed babies during the initial days of life (but after the 1st day) is related primarily to dehydration along with factors such as high birth weight, inefficient environmental ventilation, and ambient environmental temperature. Infection is the least common explanation for raised temperature during that period.

HUBUNGAN INISIASI MENYUSU DINI (IMD) TERHADAP SUHU BADAN BAYI BARU LAHIR (BBL) DI BPM FAUZIAH HATTA PALEMBANG TAHUN 2019

Hypothermia is a major cause of morbidity and mortality in newborns at developing countries. The World Health Organizations (WHO) has recommens to maintain heat in newborns care, however hypothermia continues become a normal neonatal condition, which is unidentified, not documented and limited treatment. The purpose of this study was to determine the relationship between IMD and body temperature of newborns in 2019 BPM Fauziah Hatta Palembang. The method uses in this study was to uses descriptive analytical design, collecting samples using accidental sampling totaling 50 people respondent, data was collected by measuring temperature directly after birth and 1 hour after birth using a digital thermometer and recorded in the observation sheet. The results showed a ρ-value of 0,000 <ɑ (0,05) which means there is a significant relationship between the Initiation of Early Breastfeeding Against the Body Temperature of a Newborn. It is expected that the IMD method is implemented by health staffs, particularly midwives in order to assist the improvment of body temperature within the normal of newborns.

Risk factors associated with serious bacterial infections among newborns with high body temperature.

SummaryIntroductionRecognizing the importance of serious bacterial infections (SBIs), study aimed to identify factors associated with high body temperature in newborns.MethodsA convenience sample of 54 newborns admitted to our hospital in Iran (March-July 2015) with rectal temperature > 38°C (100.4°F) were examined for clinical signs, blood cultures, complete blood counts, platelets, Erythrocyte Sedimentation Rate (ESR), C-reactive protein (CRP), renal function, chest/abdominal x-rays, spinal tap, and history of maternal infections.ResultsNewborns had either fever due to infections, or hyperthermia due to dehydration and/or extreme warm environment. Bacterial infections (37%) included: sepsis (15%) (coagulase-positive or coagulase-negative Staphylococci, Enterobacter, Klebsiella, Escherichia coli), meningitis (13%), and 3.5% UTI, 3.5% pneumonia, 2% cellulitis, and 2% omphalitis. Degrees of dehydration experienced by 55.6% included 37% of cases associated with hyperthermia caused by warm clothing/environment, while in 18.6% dehydration was secondary to fever. Viral infections (11%) included upper respiratory infections, gastroenteritis, while in remaining 13% cause of high body temperature was unknown. The group with SBIs had higher chance of having history of PROM (premature rupture of membrane) (p = 0.023), positive CRP (p = 0.041), and abnormal platelets count (p = 0.021) comparing all others.ConclusionsHigh body temperature in newborns needs careful evaluation to identify fever due to SBIs. In sepsis cases, antibiotics should cover prevalent bacteria including Staphylococci and Enterobacter. Dehydration was prevalent among newborns with high body temperature due to hyperthermia or secondary to infections. To avoid hyperthermia, parents should know how to clothe their newborns appropriate for environmental temperature. Newborns’ SBIs associated with positive CRP, abnormal platelet count, and maternal PROM.

Perioperative changes in body temperature in patients undergoing cesarean section: a comparison between spinal and general anesthesia

Background: Perioperative decrease of body temperature is one of the most common preventable adverse events in patients undergoing a cesarean section. The aim of this study was to compare general anesthesia (GA) and spinal anesthesia (SA) in terms of perioperative changes in body temperature and related perioperative adverse events. Methods: In this prospective study, temperature was obtained 5 minutes before induction, 30 minutes after induction, and 5 minutes after arrival to Post anesthesia care unit (PACU) for patients undergoing GA and SA. In the PACU, patients were evaluated for shivering and pain. Neonatal temperature and Apgar score at 1,5, and 10 minutes were recorded, as well as neonatal intensive care unit (NICU) admissions. Results: 115 patients were included in this study, of which 65 underwent SA, while 50 patients underwent GA. Body temperature of patients undergoing SA was significantly less than that of GA group 30 minutes after induction (p= 0.038). There was no significant difference in the decrease of mean body temperature at different timeframes perioperatively between the groups. There was an increase in the incidence of shivering in SA patients (30.8%), compared to the GA patients (8%; p= 0.003). No significant differences were found between the two groups in newborn Apgar score (at 1,5,10 minutes), newborn body temperature, and NICU admission. Conclusion: We did not find a significant decrease in temperature in both groups. We thus demonstrated that interventions used for prevention of hypothermia are of great importance for maternal and fetal well‐being, by decreasing the risk of developing hypothermia in both GA and SA.

Hubungan Inisiasi Menyusui Dini dengan Kestabilan Suhu Tubuh pada Bayi Baru Lahir di RS Muhammadiyah Gresik Kabupaten Gresik

Early initiation of breastfeeding (IMD) is the process of letting a baby suckle itself immediately after birth. IMD is very important to be done by midwives as health workers so that the baby is healthy does not occur hypothermia. The problem discussed in this scientific paper is the relationship between the initiation of Early Breastfeeding and the stability of the newborn's body temperature, the aim is to find out the relationship of the initiation of Early Breastfeeding with the stability of the body temperature of the newborn. The purpose of this study is the relationship between Early Breastfeeding Initiation and Body Temperature Stability in Newborns at Muhammadiyah Hospital Gresik, Gresik Regency. In this study using a case control approach. The population in this study were 39 newborns in Muhammadiyah Hospital Gresik, Gresik Regency. The study sample was 20 newborns at Muhammadiyah Hospital Gresik taken from the population by determining the sample size using the Slovin formula. The design of this study used a case-control design. Cases were taken from infants that received IMD while controls were newborns who had normal body temperature. Techniques data collection through interviews and observations to obtain primary data, while secondary data are obtained by tracking the patient's medical record documents. Data processing techniques follow the steps : editing, coding, data entry, tabulation, and scoring. While the data analysis used the Chi Square test. The results of the bivariate analysis showed that the value of X2hit (10,588)> X2 table (3.8415) or p-value (0.009) <alpha (0.05). Based on these results the null hypothesis (Ho) is rejected. The alternative hypothesis (Ha) is accepted, meaning that there is a relationship between the initiation of early breastfeeding and the stability of body temperature in newborns at Muhammadiyah Hospital Gresik, Gresik Regency .

312-OR: Functional Decline in Brown Adipose Progenitors during BAT Remodeling

In humans, there is a striking decrease in the prevalence and activity of brown adipose tissue (BAT) with age and obesity; however, the cellular and molecular mechanisms of BAT remodeling are almost completely unknown. Rodent models have been widely used to study BAT but they possess constitutively active BAT throughout life even at thermoneutrality; therefore, complementary animal models that possess characteristics of human BAT remodeling are needed. Here, we found that BAT progressively whitened in rabbits in a similar manner as in humans. As rabbits mature, preadipocytes in BAT displayed reduced capacity to be differentiated into brown adipocytes, when transplanted into immune-deficient mice. RNA-sequencing of brown preadipocytes identified that, during BAT remodeling, genes enriched for muscle contraction and mitochondrial function were down-regulated, while genes involved in lipid and amino acid metabolism were up-regulated. Single-cell RNA sequencing discovered a unique population of stromal vascular fraction cells specifically expressing genes regulating muscle and mitochondrial function. Knocking down these genes in rabbit brown preadipocytes blunted their ability to become mature brown adipocytes. We also identified follistatin like 1 (FSTL1) as a novel “batokine” that is specifically expressed by brown preadipocytes but not mature brown adipocytes. FSTL1 gradually reduced its expression when BAT whitens in rabbits, but was stably expressed in mouse BAT during life. Deleting FSTL1 specifically in the Myf5 lineage in mice reduced BAT size, UCP1 expression, and body temperature in newborns, suggesting the constitutive expression of FSTL1 prevents BAT whitening in mice. Taken together, we identify potential molecular mechanisms underlying functional decline in the browning ability of preadipocytes that contribute to BAT remodeling in rabbits and possibly humans. Disclosure Z. Huang: None. Z. Zhang: None. H. Ruan: None. Funding American Diabetes Association (1-18-IBS-167 to H-B.R.)

THE EFFECT OF EARLY BREASTFEEDING INITIATION (IMD) ON NEW BORN BABY TEMPERATURE IN BPS HEPPY RINA, S.ST, SEDURI VILLAGE-MOJOSARI AND BPS FIFIT, S.ST, PANJER VILLAGE-MOJOSARI

Background: Newborns often experience a decrease in body temperature. This is due to the inability of newborns to maintain body temperature, subcutaneous fat that has not been perfect, the body surface is broad compared to body mass, and the temperature of the cold environment. To maintain the baby's body temperature to remain normal, an effort must be made. Hypothermia baby handling in BPS is to provide a warm light to increase the baby's body temperature by giving 100 watts of light.Objectives: This study aimed to determine the effect of Early Breastfeeding Initiation (IMD) on the body temperature of newborns.Methods: The research design used was experimental research with the design of the quassy experiment. The independent variable is the body temperature of newborns without Early Breastfeeding Initiation (IMD). The dependent variable is the body temperature of a newborn with Early Breastfeeding Initiation (IMD). The population of all maternity women is 20 people. The sample from this study were 16 maternity respondents. Sampling using accidental sampling method. The research was conducted at BPS Heppy Rina, S.ST, Seduri Village - Mojosari and BPS Fifit, S.ST, Panjer Village - Mojosari. Data collection uses primary data. The instrument used is a thermometer and checklist. Data is presented in the frequency distribution table and analyzed using the Willcoxon test.Results: The results showed that almost all newborns without IMD had hypothermia (43.74%), most newborns with IMD had normal body temperature (37.5%), Willcoxon test results ρ 0.025 &lt;0.05, then H1 was accepted which meant there was an influence of initiation Early Breastfeeding (IMD) on the body temperature of newborns at BPS Heppy Rina, S.ST Seduri Village - Mojosari and BPS Fifit, S.ST Panjer Village - Mojosari.Conclusion: Based on the results of the study obtained early breastfeeding initiation (IMD) affects the body temperature of newborns. Based on the results of these studies, then the handling of newborns who experience hypothermic body temperature is more effective to do Early Breastfeeding Initiation (IMD). Keywords: Early breastfeeding initiation, newborn body temperature, hypothermic.

THE EFFECT OF TOUCH THERAPY ON BODY TEMPERATURE IN NEWBORNS IN THE SELE BE SOLU HOSPITAL, SORONG CITY, PAPUA, INDONESIA

Background: Newborns are not able to regulate their body temperature directly and are quickly getting cold. If heat loss is not immediately prevented, the baby will experience hypothermia and is at risk of falling ill leading to death. Hypothermia is a decrease in body temperature below 36.50C. One way to handle it is by giving touch therapy.Objective: This study aims to analyze the effectiveness of touch therapy to stabilize baby temperature in newborns in Sele Be Solu Hospital in Sorong City, Papua Indonesia.Methods: The study used a quasi-experimental design with pretest and posttest control group design. There were 32 patients, which 16 patients were assigned in the intervention group and the control group. Data were analyzed using Independent t-test.Results: The results showed that there was a significant increase in the body temperature of newborns in the intervention group (p=.000).Conclusion: Touch therapy is effective for increasing body temperature in the newborns.

Functional decline in brown adipose progenitors during BAT remodeling

In humans, there is a striking decrease in the prevalence and activity of brown adipose tissue (BAT) with age and obesity; however, the cellular and molecular mechanisms of BAT remodeling are almost completely unknown. Rodent models have been widely used to study BAT but they possess constitutively active BAT throughout life even at thermoneutrality; therefore, complementary animal models that possess characteristics of human BAT remodeling are needed. Here, we found that BAT progressively whitened in rabbits in a similar manner as in humans. As rabbits mature, preadipocytes in BAT displayed reduced capacity to be differentiated into brown adipocytes, when transplanted into immune‐deficient mice. RNA‐sequencing of brown preadipocytes identified that, during BAT remodeling, genes enriched for muscle contraction and mitochondrial function were down‐regulated, while genes involved in lipid and amino acid metabolism were up‐regulated. Knocking down genes regulating muscle and mitochondrial function in rabbit brown preadipocytes blunted their ability to become mature brown adipocytes in vitro and in vivo. We also identified follistatin like 1 (FSTL1) as a novel “batokine” that is specifically expressed by brown preadipocytes but not mature brown adipocytes. FSTL1 gradually reduced its expression when BAT whitens in rabbits, but was stably expressed in mouse BAT during life. Deleting FSTL1 specifically in the Myf5 lineage in mice reduced BAT size, UCP1 expression, and body temperature in newborns, suggesting the constitutive expression of FSTL1 prevents BAT whitening in mice. Taken together, we identify potential molecular mechanisms underlying functional decline in the browning ability of preadipocytes that contribute to BAT remodeling in rabbits and possibly humans.Support or Funding InformationAmerican Diabetes Association (18‐IBS‐167)This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Effect of Early Maternal-Newborn Skin Contact during Third Stage of Labor on Child birth Outcomes

The present study aimed to evaluate effect of early maternal-newborn skin contact during third stage on child birth outcomes. Design: Aquasi experimental research design was used. Setting: This study was conducted at Labor and Delivery Unit at Obstetrics and Gynecology Department in Mansoura University Hospitals Egypt. Subjects: This study included 180 parturient women who were selected by purposive sampling technique and were divided into 90 parturient women who received skin to skin contact (SSC) during third stage of labor and 90 parturient women who received routine hospital care according to the inclusion criteria. Tools: Five tools were used for data collection; namely (structured interviewing schedule, APGAR Newborn Scoring Chart, The new born body temperature chart, Observational checklist for assessment of first breastfeeding and Lickert Scale for assessment of maternal sat is faction). Results: The duration of third stage of labor was shorter, the amount of blood loss was lower and maternal sat is faction and preference were higher in the intervention than control group (p<0.05). New borns in the intervention group initiated their first breast feeding earlier and haves lightly higher temperature but within normal than control group (p<0.05). Conclusion: Maternal-new born skin contact had positive effect on shortening duration of third stage of labor, less blood loss, early initiation of breast feeding, better newborn body temperature and mores at is faction. The study recommended: that the maternity hospitals should encourage obstetricians and maternity nurses to increase awareness of women about the benefits of practicing early maternal-new born skin contact during third stage of labor on child birth outcomes.

High Ambient Temperatures as A Cause of Neonatal Fever? Investigating the Association Between Environmental Temperature and Newborn Body Temperature

High Ambient Temperatures as A Cause of Neonatal Fever? Investigating the Association Between Environmental Temperature and Newborn Body Temperature

NEWBORN BODY TEMPRATURE;

Objectives… To identify comparative study to see the impact on newbornbody temperature after skin contact of mother and newborn v/s conventional method. StudyDesign: Cross sectional, analytical study. Place and Duration: Department of Obstetrics andGynecology (Unit-III) Liaquat University Hospital, Hyderabad Sindh from May 2013 to April2014. Methods: All the laboring women with no any antenatal complication and with cephalicpresentation admitted at term pregnancy for normal vaginal delivery along with new born withApgar score more than 6 were approached by duty doctors. Written as well as verbal consentwas obtained and women have allocated numbers, 1 to 120. The women were divided intwo groups. Group A (baby warmer group 60 patients) and Group B (Skin to skin contact 60patients). Results: 120 patients were recruited and randomly equally divided into two groups.There over all mean age of these patients was 26.7+- 5.0years. In group A the gravida wasfound as between 1 to 6 children in 60% (n=30), Compared with Group B, 64% (n=32). Theoverall mean hospital stay was as 6.6+_ 1.6 hours. Personal health response like was foundin 76% (n =38) patients with group A compared with Group B 86% (n=43). Mother responselike was found in 76% (n=38 patient in group A) compared with group B 76% (n=38). Thereis statically significant mean difference in ◦F after one hour was observed (P=0.001) betweengroup A and group B, no significant mean difference in temperature ◦F after 1 and 5 minuteswere observed ( P &gt; 0.05)compared with in group B 76% (n=38) patients. Conclusion: Skinto skin contact reduces the hypothermia, so it should be encourage and continue. Skin toskin contact is easy, cheap and helps in bonding of mother and baby. With this practice wewill achieve the millennium development goal (MDG) that is to decrease neonatal mortality inPakistan.