Heat Loss Prevention in the Delivery Room for Preterm Infants: A National Survey of Newborn Intensive Care Units

Knobel, Robin B.; Vohra, Sunita; Lehmann, Christoph U.

doi:10.1038/sj.jp.7211344

Cited by 40 publications

(29 citation statements)

References 15 publications

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“…[1][2][3][4][5][6][7][8] Despite this recognition, hypothermia remains a significant challenge, especially in the perinatal care of preterm infants. Our clinical experience suggests that hypothermia remains an ongoing problem, especially among extremely low birth weight infants, even for those born in Level III perinatal centers.…”

Section: Introductionmentioning

confidence: 99%

Transitional hypothermia in preterm newborns

et al. 2007

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Section: Introductionmentioning

confidence: 99%

Transitional hypothermia in preterm newborns

et al. 2007

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“…When our team evaluated use of polyurethane bags to decrease heat loss in infants younger than 29 weeks' gestational age, we attempted to have clinicians increase delivery room temperature to 26°C prior to each delivery. 18 This proved to be an impossible task to accomplish; therefore, we analyzed delivery room temperature as a covariate and found that although the plastic bags increased admission temperatures, a warmer delivery room increased the effect. Although this simple intervention has been found to work in increasing core body temperature in premature infants, 19 clinicians are not consistent in increasing delivery room temperature.…”

Section: Delivery Room Temperaturementioning

confidence: 99%

Role of effective thermoregulation in premature neonates

Knobel-Dail¹

2014

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Even though researchers have studied ways to reduce heat loss in premature infants for more than 100 years, hypothermia remains a widespread problem in this population, especially after birth and through the first weeks of life. This review focuses on current research findings that are being translated into practice to reduce heat loss after birth and during neonatal intensive care unit hospitalization. Recommendations for practice are given to minimize heat loss during care and promote thermal stability for very low birth weight infants. More research is needed to combine evidence-based interventions into thermoregulation bundles and to assess morbidity and mortality when such bundles are implemented. It is essential to continue to focus on thermal stability and eliminate hypothermia in the very low birth weight population.

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“…[4][5][6][7] Therefore, there is a need for meticulous thermal care during their resuscitation and transfer to the neonatal unit. 8 Previously, resuscitation guidelines recommended placing babies under radiant heaters, drying and wrapping in pre-warmed blankets and covering the head to reduce heat loss. This approach has been superseded by the technique of wrapping preterm babies in food or hospital standard polythene bags to prevent evaporative heat loss while permitting radiant warming.…”

Section: Introductionmentioning

confidence: 99%

Improving neonatal unit admission temperatures in preterm babies: exothermic mattresses, polythene bags or a traditional approach?

et al. 2009

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Objective: To investigate whether exothermic sodium acetate mattresses were associated with an improvement in the thermal care of babies <30 weeks gestation between birth and admission to a neonatal unit.Study Design: Analysis of a three case series of babies: the first with traditional thermal care of drying and wrapping in a towel, the second with wrapping in food standard polythene bags and the third with wrapping in polythene bags and nursing on an activated exothermic mattress. The main outcome measure was the temperature on admission to the neonatal unit.Result: There were no significant differences between the groups for gestation and birth weight. Hypothermia was less frequent in the 'bag and mattress' group compared with the 'bag only' and traditional care groups (26 vs 69 vs 84%, respectively) even though the median time to admission was longest in the 'bag and mattress' group (23 min). The proportions of babies admitted with temperatures in the target range of 36.5 to 37.5 1C were 46, 27 and 16%, respectively. Multiple regression analysis showed that use of the mattress raised admission temperatures by 1.04 1C. The median temperature of babies in the 'bag and mattress' group was higher compared with the other groups (36.9 vs 36.0 vs 35.8 1C), but significantly more were hyperthermic (28 vs 4 and 0.4%, respectively).Conclusion: Use of exothermic mattresses for babies <30 weeks gestation was associated with a significantly greater proportion of babies being admitted to the neonatal unit with a temperature in the euthermic range, but there was also an increased risk of hyperthermia.

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Heat Loss Prevention in the Delivery Room for Preterm Infants: A National Survey of Newborn Intensive Care Units

Cited by 40 publications

References 15 publications

Transitional hypothermia in preterm newborns

Transitional hypothermia in preterm newborns

Role of effective thermoregulation in premature neonates

Improving neonatal unit admission temperatures in preterm babies: exothermic mattresses, polythene bags or a traditional approach?

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