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Bundle me up! Heat loss in infants

Friday, September 30, 2011Alicia
Bundle me up!

Ever wonder why doctors recommend that newborns and infants are swaddled?  Aside from helping to calm the baby, swaddling and other measures are important actions to help a newborn maintain their core body temperature.  The normal axillary (arm pit) temperature range for a newborn is 97.5 ˚F – 99˚ F (36.4 ˚C – 37.2˚ C).  Temperatures outside of this range can lead to or indicate a problem. 

Newborns are much more vulnerable to heat loss compared to adults for a number of reasons:

  • In the first place they have a high surface area to body size ratio leaving lots of surface area from which to lose heat.  
  • Secondly, babies are born with smaller quantities of adipose tissue which leaves them with limited natural insulation to keep warm.  
  • Lastly, unlike adults, a newborn is unable to generate body heat through shivering.  This is a very important and fairly unknown fact that affects greatly their ability to keep themselves warm . The primary form of thermogenesis (heat production) for a newborn is through metabolism of brown fat stores.  

If a low core body temperature is not remediated it can lead to a situation call Cold Stress and later to hypoglycemia. Hypoglycemia occurs when the serum blood glucose is under 40mg/dL, a condition diabetics are very familiar with and must manage on a daily basis. Therefore it is important to understand how to prevent excessive heat loss in your newborn and ensure that your baby’s core body temperature remains within the safe recommended range. 

Now we know how important it is to prevent heat loss in infants. In the second part of this article we’ll talk about the various strategies for keeping your newborn warm.

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