Skip to main content

Hypothermia or Coldness in Neonates: What You Need to Know

Hypothermia is when a baby’s core body temperature drops below 36.5°C (97.7°F), according to the World Health Organization. This condition can be especially dangerous for premature babies, increasing the chances of illness and even death. Hypothermia can happen due to a cold environment or because of an illness like an infection (sepsis). To prevent this, it’s important to keep the delivery room or operating room at the right temperature.

If a baby becomes hypothermic, they need to be warmed up, and any underlying cause, like an infection, should be identified and treated. For both full-term and premature babies, a normal body temperature (measured rectally) should be between 36.5°C and 37.5°C. Even if a baby’s temperature is above 36.5°C, they can still experience “cold stress” if their body has to work harder to stay warm, which can be a sign that they’re losing too much heat.

Understanding the signs, causes, and treatment options for hypothermia in newborns is crucial for ensuring their health and well-being.

Download PDF

Symptoms

  • Cool Skin: The baby’s skin may feel cool to the touch, especially in areas like the hands, feet, and face.
  • Pale or Bluish Skin: A baby with hypothermia may have pale or bluish skin, particularly around the lips and extremities.
  • Lethargy: The baby may seem unusually tired, sleepy, or less active than usual.
  • Weak Cry: The baby’s cry may be weaker or quieter than normal.
  • Poor Feeding: Babies with hypothermia may have difficulty feeding, showing little interest in breastfeeding or bottle-feeding.
  • Shivering: While shivering is rare in newborns, it can occur in some cases of hypothermia.

Causes

  • Environmental Factors:
    • Cold delivery rooms, inadequate clothing, or prolonged exposure to cold environments can lead to hypothermia.
  • Medical Conditions:
    • Certain infections, brain bleeding or drug withdrawal

Diagnosis

Diagnosing hypothermia in newborns involves a combination of clinical observation and temperature measurement. Healthcare providers typically use a thermometer to check the baby’s body temperature. A reading below 36.5°C (97.7°F) suggests hypothermia. In some cases, additional tests may be conducted to determine the underlying cause, such as blood tests to check for infections or other medical conditions.

Treatment Options

  • Skin-to-Skin Contact (Kangaroo Care): Placing the baby on the mother’s bare chest, covered with a blanket, can help raise the baby’s body temperature through direct body heat.
  • Warm Clothing and Blankets: Wrapping the baby in warm clothing and blankets is essential. The baby’s head should be covered with a hat to prevent heat loss.
  • Incubator Use: In more severe cases, the baby may be placed in an incubator or radiant warmer, which provides a controlled, warm environment to stabilize the baby’s temperature.
  • Intravenous (IV) Fluids: If the baby is not feeding well, IV fluids may be given to ensure proper hydration and nutrition.
  • Treating Underlying Causes: If an infection or other medical condition is causing hypothermia, appropriate treatments such as antibiotics or other medications will be administered.

Why Choose Us

Expert team

Our pediatric specialists have extensive experience in treating children.

Personalized care

We create treatment plans that fit each child’s unique needs

Support and education

We teach children and families how to care for them and prevent future cases

Advanced treatments

Access to the latest treatments and products

Contact

Please feel free to contact us with any general or medical enquiry by calling us.

+254-709-529-000

+254-733-645-000

Primary Clinic Days

Monday - Saturday
8:00 am - 8:00 pm
Sundays & Public Holidays
9:00 am - 7:00 pm

Specialist Clinic Days

Monday - Saturday
8:00 am - 5:00 pm
Sunday
9:00 am - 5:00 pm