Kangaroo Mother Care to Prevent Hypothermia in Term Infants

有源比较器：连续袋鼠妈妈式护理出院

除了标准的 WHO 体温调节护理，包括温暖的产房、立即擦干、尽可能进行袋鼠妈妈护理 (KMC)、早期和纯母乳喂养、必要时推迟洗澡和称重、适当捆绑并将婴儿放入空气保育箱、辐射加热器中，或加热床垫 如果婴儿出现体温过低，婴儿将在从出生后一小时到出院的大部分时间内接受持续的 KMC。

其他：连续袋鼠妈妈式护理出院

在研究人员的鼓励下，婴儿将接受标准的 WHO 体温调节护理，从出生后一小时到出院，尽可能多地将婴儿置于袋鼠妈妈护理中。 在 KMC，裸体的新生儿带着帽子和尿布将俯卧在妈妈裸露的胸前，并用毯子盖住婴儿的背部。 妈妈在KMC带宝宝睡觉时，护理人员会监督母婴。 如果婴儿体温过高（>38 摄氏度），婴儿将被带离 KMC，并采用常规捆绑做法。 婴儿出生后 1 小时用数字温度计通过腋窝测量体温，并在出院或 24 小时后再次测量，以先到者为准。

假比较器：标准袋鼠式护理出院

婴儿将接受标准的 WHO 体温调节护理，包括温暖的产房、立即擦干、尽可能进行袋鼠妈妈护理 (KMC)、早期和纯母乳喂养、延迟洗澡和称重（如果需要）、适当捆绑并将婴儿放入空气保育箱、辐射加热器、如果婴儿从出生后 1 小时到出院时出现体温过低，则使用加热床垫。

其他：标准袋鼠式护理出院

婴儿将接受标准的 WHO 体温调节护理，而无需研究人员的额外鼓励，让婴儿从出生后 1 小时到出院尽可能多地接受袋鼠妈妈护理。 在 KMC，裸体的新生儿带着帽子和尿布将俯卧在妈妈裸露的胸前，并用毯子盖住婴儿的背部。 妈妈在KMC带宝宝睡觉时，护理人员会监督母婴。 如果婴儿体温过高（>38 摄氏度），将给予标准治疗，其中可能包括从 KMC 移除和使用常规捆绑做法。 婴儿出生后 1 小时用数字温度计通过腋窝测量体温，并在出院或 24 小时后再次测量，以先到者为准。

有源比较器：Continuous Kangaroo Mother Care to one hour after birth

In addition to standard WHO thermoregulation care which includes warm delivery rooms, immediate drying, Kangaroo Mother Care (KMC) whenever possible, early and exclusive breastfeeding, postponed bathing and weighing if needed, appropriate bundling and placing the infant in air incubator, radiant heater, or heat mattress if the infant develops hypothermia, the infants will receive continuous KMC most of the time possible from birth to one hour after birth.

其他：Continuous Kangaroo Mother Care to one hour after birth

Infants will receive the standard WHO thermoregulation care with encouragement from study personnel to keep infant in Kangaroo Mother Care for as much as possible until 1 hour of birth. In KMC, the naked newborn infant with cap and diaper will be placed prone on mom's bare chest with blanket covering infant's back. All infants will be resuscitated as usual per Neonatal Resuscitation Program guidelines and hospital standard practices. The nursing staff will supervise mother-infant when mother is sleeping with infant in KMC. If infant becomes hyperthermic (>38 degrees Celsius), the infant will be removed from KMC and routine bundling practices will be used. The infant's temperature will be taken via axillae with a digital thermometer at one hour of age.

假比较器：Standard Kangaroo Mother Care to one hour after birth

Infants will receive standard WHO thermoregulation care which includes warm delivery rooms, immediate drying, Kangaroo Mother Care (KMC) whenever possible, early and exclusive breastfeeding, postponed bathing and weighing if needed, appropriate bundling and placing the infant in air incubator, radiant heater, or heat mattress if the infant develops hypothermia from birth to 1 hour after birth.

其他：Standard Kangaroo Mother Care to one hour after birth

Infants will receive the standard WHO thermoregulation care of Kangaroo Mother Care for as much as possible until 1 hour of birth, without additional encouragement per study personnel. In KMC, the naked newborn infant with cap and diaper will be placed prone on mom's bare chest with blanket covering the infant's back. All infants will be resuscitated as usual per Neonatal Resuscitation Program guidelines and hospital standard practices. The nursing staff will supervise mother-infant when mother is sleeping with infant in KMC. If infant becomes hyperthermic (>38 degrees Celsius), the infant will receive standard care which may include removal from KMC and use of routine bundling practices. The infant's temperature will be taken via axillae with a digital thermometer at one hour of age.

Number of Infants With Axillary Temperature <36.0 Degrees Celsius

Temperature taken per axilla using digital thermometer

Number of Infants With Axillary Temperature < 36.0 Degrees Celsius at Discharge

Temperature taken per axilla using diigital thermometer at Discharge or 24hrs after birth

Number Infants Admitted to the Neonatal Intensive Care Unit

Any admission to the neonatal intensive care unit for higher level care

Duration of Kangaroo Mother Care

Skin to skin contact between baby and mother