Abstract
OBJECTIVE--To explore the attitudes of parents to measuring their babies' rectal temperature. DESIGN--Qualitative study using unstructured interviews of parents given "Baby Check," a scoring system designed to assess severity of illness in babies that includes measurement of rectal temperature. SETTING--One inner city general practice in Newcastle upon Tyne. SUBJECTS--42 parents of 34 babies under 6 months old. RESULTS--Parents were reluctant to measure rectal temperature in their babies; 37 parents spontaneously raised concerns. Fifteen did not undertake measurement, 16 did so once only, and 11 did so more than once. Parents' concerns included a fear of hurting their child, anxieties about sexual intimacy and abuse, difficulty in comforting their child, and concern for their child's feelings. Most (33) substituted axillary measurement. CONCLUSIONS--Parents' preference for the axillary method of measuring temperature and resistance to using a rectal method in their children was based on several concerns. If parents are to be encouraged to use the rectal method of measuring temperature in sick babies any benefits must be set against the generation of considerable parental anxiety and the resources that would be necessary to negotiate with parents and change their views.
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Selected References
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- Hobbs C. J., Wynne J. M. Buggery in childhood--a common syndrome of child abuse. Lancet. 1986 Oct 4;2(8510):792–796. doi: 10.1016/s0140-6736(86)90310-7. [DOI] [PubMed] [Google Scholar]
- Keeley D. Taking infants' temperatures. BMJ. 1992 Apr 11;304(6832):931–932. doi: 10.1136/bmj.304.6832.931. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kresch M. J. Axillary temperature as a screening test for fever in children. J Pediatr. 1984 Apr;104(4):596–599. doi: 10.1016/s0022-3476(84)80558-2. [DOI] [PubMed] [Google Scholar]
- Morley C. J., Hewson P. H., Thornton A. J., Cole T. J. Axillary and rectal temperature measurements in infants. Arch Dis Child. 1992 Jan;67(1):122–125. doi: 10.1136/adc.67.1.122. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morley C. J., Thornton A. J., Cole T. J., Hewson P. H., Fowler M. A. Baby Check: a scoring system to grade the severity of acute systemic illness in babies under 6 months old. Arch Dis Child. 1991 Jan;66(1):100–105. doi: 10.1136/adc.66.1.100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thornton A. J., Morley C. J., Green S. J., Cole T. J., Walker K. A., Bonnett J. M. Field trials of the Baby Check score card: mothers scoring their babies at home. Arch Dis Child. 1991 Jan;66(1):106–110. doi: 10.1136/adc.66.1.106. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weisse M. E., Reagen M. S., Boule L., France N. Axillary vs. rectal temperatures in ambulatory and hospitalized children. Pediatr Infect Dis J. 1991 Jul;10(7):541–542. doi: 10.1097/00006454-199107000-00013. [DOI] [PubMed] [Google Scholar]
- de Melker R. A. Diagnostic value of microtympanometry in primary care. BMJ. 1992 Jan 11;304(6819):96–98. doi: 10.1136/bmj.304.6819.96. [DOI] [PMC free article] [PubMed] [Google Scholar]