THE VERNIX CASEOSA AND SUBNORMAL TEMPERATURE IN PREMATURE INFANTS

THE VERNIX CASEOSA AND SUBNORMAL TEMPERATURE IN PREMATURE INFANTS C o r , m ~SAUNDERS, B.A.O., B S c . ~ M.B., Yaediatrician to the Natioital Nateriiity Hospital, Dublin; Paediairician t o the Coonzbe Lyiizg-in Hospital, Duldin IN spite oi modern methods of nursing and infant is deprived of its vernix after birth, incubation, including various forms o f treatment, the problem o persistent subf normal temperature in the premature infant still remains to be completely solved. We approached this difficulty in the Xational Maternity Hospital, Dublin, after the establishment of a modern incubator room with thermostatic control and added incubator equipment had not resulted in any niarked success for some time. Thyroid gland w a s used but the results were not conclusive. A diarrhoeic effect was noted in most cases in which this latter treatment ivas administered and, in the case of the few infants that showed improvement, it was difficult to say whether this iinprovemcnt was fortuitous or not. Oestrogenic preparations were tried both by mouth and parenterally with similar inconclusive and unsatisfactory results. The question then arose as to whether in the majority of cases this subnormal temperature was due to dysfunction of a poorly developed thermal centre, to a subnormal metabolism, to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png BJOG : An International Journal of Obstetrics & Gynaecology Wiley

THE VERNIX CASEOSA AND SUBNORMAL TEMPERATURE IN PREMATURE INFANTS

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Publisher
Wiley
Copyright
Copyright © 1948 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1470-0328
eISSN
1471-0528
DOI
10.1111/j.1471-0528.1948.tb07409.x
Publisher site
See Article on Publisher Site

Abstract

C o r , m ~SAUNDERS, B.A.O., B S c . ~ M.B., Yaediatrician to the Natioital Nateriiity Hospital, Dublin; Paediairician t o the Coonzbe Lyiizg-in Hospital, Duldin IN spite oi modern methods of nursing and infant is deprived of its vernix after birth, incubation, including various forms o f treatment, the problem o persistent subf normal temperature in the premature infant still remains to be completely solved. We approached this difficulty in the Xational Maternity Hospital, Dublin, after the establishment of a modern incubator room with thermostatic control and added incubator equipment had not resulted in any niarked success for some time. Thyroid gland w a s used but the results were not conclusive. A diarrhoeic effect was noted in most cases in which this latter treatment ivas administered and, in the case of the few infants that showed improvement, it was difficult to say whether this iinprovemcnt was fortuitous or not. Oestrogenic preparations were tried both by mouth and parenterally with similar inconclusive and unsatisfactory results. The question then arose as to whether in the majority of cases this subnormal temperature was due to dysfunction of a poorly developed thermal centre, to a subnormal metabolism, to

Journal

BJOG : An International Journal of Obstetrics & GynaecologyWiley

Published: Aug 1, 1948

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