The following factors contribute to hypothermia in preterm babies except –
**Core Concept**
Hypothermia in preterm babies is a significant concern, as it can lead to increased morbidity and mortality. The factors contributing to hypothermia in this population are multifactorial, including environmental, physiological, and medical factors.
**Why the Correct Answer is Right**
Preterm babies are at increased risk of hypothermia due to their small body mass, high surface-to-volume ratio, and immature thermoregulatory mechanisms. Environmental factors such as cold incubator temperatures, inadequate clothing, and poor handling techniques can also contribute to hypothermia. Additionally, medical factors such as birth asphyxia, respiratory distress syndrome, and congenital heart disease can increase the risk of hypothermia.
**Why Each Wrong Option is Incorrect**
* **Option A:** Premature rupture of membranes (PROM) is actually a risk factor for hypothermia in preterm babies, as it can lead to heat loss through evaporation of amniotic fluid.
* **Option B:** Inadequate maternal temperature regulation during labor and delivery can also contribute to hypothermia in preterm babies.
* **Option C:** Cold storage of umbilical cord blood can also contribute to hypothermia in preterm babies.
**Clinical Pearl / High-Yield Fact**
Preterm babies are most susceptible to hypothermia in the first few hours after birth, and early recognition and management of hypothermia are critical to prevent long-term sequelae.
**Correct Answer:** D.