Embrace versus Cloth Wrap in preventing neonatal hypothermia during transport: a randomized trial

Morgaonkar, Vallaree Anant; Patel, Dipak V.; Phatak, Ajay; Nimbalkar, Archana; Nimbalkar, Somashekhar

doi:10.1038/s41372-020-0734-x

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…While skin-to-skin contact has been suggested as an effective approach during neonatal transport [17], only one out of five transported babies received skin-toskin contact. We believe that this finding requires further investigation on application of skin-to-skin contact and/ or considerations about alternative warming methods in this setting [18,19]. Our data also suggested a large underestimation of hypoxia during transport, since most desaturated infants at admission to the referral hospital had not received supplemental oxygen before.…”

Section: Discussionmentioning

confidence: 67%

Prognostic role of TOPS in ambulance-transferred neonates in a low-resource setting: a retrospective observational study

Cavallin

Contin

Alfeu

et al. 2022

BMC Pregnancy Childbirth

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Background Assessing the severity of transferred neonates at admission can improve resource allocation. This study evaluated the role of TOPS (illness severity score including temperature, oxygen saturation, skin perfusion and blood sugar) in predicting mortality in neonates transferred by ambulance in a low-resource setting. Methods The study was conducted at Beira Central Hospital (Mozambique). Infants who were transferred by ambulance to the Neonatal Intensive Care Unit between 16th June and 16th October 2021 were included. The association between TOPS and mortality was investigated with a logistic regression model. Receiver-operating characteristics (ROC) curve was derived for TOPS; area under the ROC curve, sensitivity and specificity were calculated. Results In-transport mortality was 2/198 (1.0%) and in-hospital mortality was 75/196 (38.3%). Median gestational age and birthweight were 38 weeks and 2600 g. Main causes of admission were asphyxia (29.3%), prematurity (25.3%) and sepsis (22.7%). Hypothermia and oxygen desaturation at admission were 75.8% and 32.3%. TOPS ≥ 1 was associated with increased mortality risk (odds ratio 7.06. 95% confidence interval 1.90 to 45.82), with 0.97 sensitivity and 0.26 specificity. Conclusions The high mortality rate calls for interventions and quality initiative studies to improve the transfer process and the conditions at admission. TOPS can be used to identify neonates at risk of mortality and concentrate efforts of health care providers. Interventions preventing hypothermia and oxygen desaturation should be implemented in pre-transport stabilization and care during transport.

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Section: Discussionmentioning

confidence: 67%

Prognostic role of TOPS in ambulance-transferred neonates in a low-resource setting: a retrospective observational study

Cavallin

Contin

Alfeu

et al. 2022

BMC Pregnancy Childbirth

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“…Salah satu tindakan pencegahan hipotermia pada bayi prematur dapat dilakukan dengan menghangatkan tubuh bayi yaitu dengan mengunakan pembungkus plastik untuk mengurangi resiko hipotermia dan peningkatan suhu masuk, terutama pada bayi baru lahir yang sangat premature (Morgaonkar, V et al, 2021) Plastik polietilen Melindungi epidermis secara efektif mengurangi penguapan pada bayi dan mengurangi luas permukaan tubuh yang terpapar udara luar. Ini secara efektif mengurangi pelepasan panas tubuh bayi saat menggunakan polietilen (Trevisanuto et al, 2018).…”

Section: Latar Belakangunclassified

Plastik Polietilen dapat Meningkatkan Suhu Tubuh pada Bayi Prematur yang Mengalami Hipotermia

Maryani,

Lestari,

Istiani

2022

JNC

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Latar Belakang: Prematur merupakan salah satu penyebab utama kematian pada bayi. Salah satu hal yang menyebabkan yaitu kemampuan termoregulasi yang belum sempurna sehingga mengakibatkan hipotermia. Hal yang bisa dilakukan yaitu pemberian plastik polietilen untuk menghangatkan tubuh bayi.Tujuan: Mengetahui pengaruh plastik polietilen terhadap suhu bayi prematur di ruang Perinatologi.Metode: Penelitian ini menggunakan pre-post test with control group design. Populasi penelitian ini yaitu bayi prematur dengan berat badan lahir rendah. Sampel penelitian ini berjumlah 18 responden pada masing-masing kelompok intervensi dan kelompok kontrol. Implementasi plastik polietilen menggunakan alat ukur standar prosedur operasional sedangkan suhu menggunakan termometer dan lembar observasi. Hasil uji normalitas data didapatkan bahwa data tidak berdistribusi normal, sedangkan hasil uji homogenitas dalam bentuk homogen. Uji statistik bivariat menggunakan Wilcoxon dan Mann Whitney. Hasil: Terdapat pengaruh plastik polietilen terhadap suhu bayi prematur di ruang perinatology (nilai p=0,000). Kesimpulan: Pemberian plastik polietilen dapat membantu mengoptimalkan suhu tubuh pada bayi prematur yang mengalami hipotermia, sehingga hal tersebut dapat direkomendasikan kepada rumah sakit agar intervensi tersebut dapat dijadikan standar prosedur operasional pada bayi prematur yang mengalami hipotermia

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“…There have been a number of preventive and curative measures that have been adapted since long to avoid and minimize effects of hypothermia 7 . Such steps include reducing risk of maternal hypothermia before delivery, maintaining an optimum room temperature and covering the child using sheets, wraps, caps and socks 8 . Plastic bags have also been recently opted for wrapping around neonates to reduce thermal loss.…”

Section: Introductionmentioning

confidence: 99%

Frequency of Neonatal Hypothermia in Preterm Infants Wrapped with and without Plastic Bag after delivery

Pervaiz,

Iqbal,

Ejaz

et al. 2024

PJMHS

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Background: Preterm birth accompanies many complications including hypothermia that worsens neonatal health and may result in fatality if left untreated. Globally, plastic wraps are being used as a low-cost and effective method to maintain temperature. Aim: To compare frequency of neonatal hypothermia in preterm infants wrapped with and without plastic bag after delivery. Study design: This was randomized control trial. Methodology: This study was conducted using at Pediatrics department of SIMS hospital, Lahore, during 6 months. Data was collected using non-probability, consecutive sampling from a sample of 92 (46 newborns in each group). Infants randomized to group-B (no bag group) received standard hospital care based on WHO thermoregulation of the newborn protocol. The data was entered and analyzed in SPSS 23. Results: In plastic wrap group there were 32(69.57%) male and 14(30.43%) female cases while in no wrap group there were 27(58.70%) male and 19(41.30%) female cases, p-value >0.05. The median temperature after one hour was higher in plastic wrap and no wrap group was 37.6±0.7 and 36.85±1.80c respectively, p-value < 0.05. There were 3(6.5%) cases in plastic wrap group and 15(32.6%) of the cases in no wrap group who developed hypothermia, the frequency of hypothermia was statistically less in wrap group when compared with no wrap group, p-value <0.05. Practical Implication: However, there is limited literature in Pakistan that compares temperature maintenance among neonates wrapped and unwrapped with plastic bags. This investigation will help find better answers to this problem. Conclusion: It is concluded that the preterm infants wrapped with plastic bag after delivery had less frequency of neonatal hypothermia after 1 hour. Plastic wraps are effective, low cost and low resource friendly method that should be opted for temperature maintenance of preterm babies. Keywords: Hypothermia, Preterm Birth, Hyperthermia, plastic wraps, Neonates and Temperature.

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Embrace versus Cloth Wrap in preventing neonatal hypothermia during transport: a randomized trial

Cited by 5 publications

References 24 publications

Prognostic role of TOPS in ambulance-transferred neonates in a low-resource setting: a retrospective observational study

Prognostic role of TOPS in ambulance-transferred neonates in a low-resource setting: a retrospective observational study

Plastik Polietilen dapat Meningkatkan Suhu Tubuh pada Bayi Prematur yang Mengalami Hipotermia

Frequency of Neonatal Hypothermia in Preterm Infants Wrapped with and without Plastic Bag after delivery

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