Effect of Maintenance of Intraoperative Normothermia in Cesarean Section on Thermal Comfort, Serum Cortisol and Apgar Score: A Randomized Controlled Trial

Inclusion Criteria:• Being 19 years of age or older pregnant * Being at least a primary school graduate * Having an elective cesarean section with spinal/epidural anesthesia * Being at or above the 38th week of pregnancy * Being in the ASA I (Normal, healthy person with no disease or systemic problem other than surgical pathology that does not cause a systemic disorder) class * Not being diagnosed with high-risk pregnancy (such as oligodydroamnios, premature membrane rupture, gestational diabetes mellitus, preeclampsia, fetal tachycardia, nonreactive NST, intrauterine growth retardation) * Having a body mass index of \>19 kg/m2 and \<40 kg/m2 * Having a singleton pregnancy * Having a healthy fetus * Having a fasting period of 2-6 hours before surgery * Being normothermic (36-37.5°C) (tympanic measurement) before surgery Exclusion Criteria: •Having comorbidities that require emergency delivery or accompany it (severe preeclampsia, bleeding placenta previa, abruption placenta, cord prolapse, fetal distress) * Need for intensive care in the mother or newborn after cesarean section * Being anemic with a hemoglobin value below 10 g/dl according to the World Health Organization (2001) * Not having platelet values within the reference values * Having any disease that will disrupt the bleeding clotting mechanism (hemophilia, liver failure, vitamin K deficiency, etc.) * Having a body core temperature above 37.5°C and below 36°C on the morning of surgery * Having malnutrition, thyroid function and other endocrine disorders, Parkinson's, peripheral circulatory disorders, Diabetes Mellitus, heart disease and a history of stroke * Having any deterioration on the skin surface of the arms and legs (ecchymosis, edema, urticaria, etc.)