Maternal hypothermia from environmental exposure in the third trimester

A primigravida at 32 weeks gestation developed hypothermia after prolonged exposure to the elements at -30.0°C. Her core temperature dropped to 29.8°C with associated foetal bradycardia. Passive rewarming was undertaken with forced warm air blankets and warmed IV fluids. The foetal heart rate normal...

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Bibliographic Details
Published in:International Journal of Circumpolar Health
Main Authors: Margot Rosenthal, Vanessa Poliquin, Adelicia Yu
Format: Article in Journal/Newspaper
Language:English
Published: Taylor & Francis Group 2020
Subjects:
pregnancy
hypothermia
accidental hypothermia
fetal bradycardia
Arctic medicine. Tropical medicine
RC955-962
Arctic
Circumpolar Health
International Journal of Circumpolar Health
Online Access:https://doi.org/10.1080/22423982.2019.1710894
https://doaj.org/article/df3cdcb8588447c7bdc38e77bb6c38fd
Description
Summary:A primigravida at 32 weeks gestation developed hypothermia after prolonged exposure to the elements at -30.0°C. Her core temperature dropped to 29.8°C with associated foetal bradycardia. Passive rewarming was undertaken with forced warm air blankets and warmed IV fluids. The foetal heart rate normalised once normothermia was achieved. Serial foetal assessments showed appropriate growth and normal Doppler studies. She went to on deliver a healthy term infant. This case highlights conservative management and prioritising of maternal well-being with a good maternal and foetal outcome.

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