Preventing Excessive Postnatal Weight Loss in Healthy New-Borns. Will Continuous Temperature Monitoring Help?

Sreekumar, Kavita; Nachinolkar, Miss Pallavi; Silveira, Maria Piedade

doi:10.32553/ijmbs.v3i11.714

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Using the TempWatch for 4 weeks has been shown to promote parental compliance to skin-to-skin contact and neonatal weight gain during the first and fourth weeks of use (85). Across hospital and community settings, the device has also been shown to be accepted well by doctors and families (86), and has not been reported to cause any adverse effects to the neonate (85,87). Since the TempWatch is a relatively new device, further research is needed to validate these early findings.…”

Section: Bempu Tempwatchmentioning

confidence: 99%

Temperature Monitoring Devices in Neonates

2021

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Introduction: Accurate temperature monitoring of neonates is vital due to the significant morbidities and mortality associated with neonatal hypothermia. Many studies have compared different thermometers in neonates, however, there is a lack of consensus regarding which of the currently available thermometers is most suitable for use in neonates.Objectives: The aim of this review was to identify and compare current methods available for temperature monitoring of neonates beyond the delivery room, including the accuracy, advantages and disadvantages of each.Methods: A recent search and narrative synthesis of relevant studies published between January 1, 1949 and May 5, 2021 on the OVID Medline, PubMed and Google Scholar databases.Results: A total of 160 papers were retrieved for narrative synthesis. The main methods available for temperature monitoring in neonates are human touch and mercury-in-glass, electronic, infrared tympanic and other infrared thermometers. Newer innovations that are also available include liquid crystal thermometers and the BEMPU TempWatch. This paper discusses the current evidence available regarding the utility of these devices, and identifies barriers to valid comparison of different thermometry methods.Conclusion: Many methods for temperature monitoring in neonates are currently available, each with their own advantages and disadvantages. However, the accuracies of different devices are hard to determine due to variable methodologies used in relevant studies and hence, further research that addresses these gaps is needed.

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Section: Bempu Tempwatchmentioning

confidence: 99%

Temperature Monitoring Devices in Neonates

2021

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“…Neonates who were admitted to cial care nursery (SCN) or neonatal intensive care unit (NICU) soon after birth cluded, unless they were returned to the postnatal wards within 48 h of life. Rea neonates requiring SCN admission soon after birth included prematurity of less Studies evaluating the BEMPU TempWatch in LMICs have shown that it is highly accurate at detecting hypothermia [10], promotes neonatal weight gain and SSC, and causes no adverse effects in the neonate [11,12]. However, its usefulness in a high-income country setting has not been evaluated.…”

Section: Patientsmentioning

confidence: 99%

“…It is targeted for use in low-and income countries (LMICs), with its simple-to-use design intended to be understo by parents with low education levels who may be unaware of their baby's risk thermia [9]. Studies evaluating the BEMPU TempWatch in LMICs have shown that it accurate at detecting hypothermia [10], promotes neonatal weight gain and S causes no adverse effects in the neonate [11,12]. However, its usefulness in a high country setting has not been evaluated.…”

Section: Introductionmentioning

confidence: 99%

Decreasing Hypothermia-Related Escalation of Care in Newborn Infants Using the BEMPU TempWatch: A Randomised Controlled Trial

2021

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Objective: To determine whether incorporating BEMPU TempWatch into the care of LBW/SGA neonates for continuous temperature monitoring decreases the rate of hypothermia requiring escalation of care. Methods: This was a randomised controlled trial conducted in a tertiary hospital in Melbourne, Australia. Participants were late preterm and term LBW/SGA neonates on the postnatal wards. Neonates were randomly assigned to receive either the BEMPU TempWatch in addition to standard care, or to receive standard care alone for the first 28 days of life. The primary outcome was hypothermia requiring escalation of care during initial hospital stay after birth. Results: Trial was discontinued after planned interim feasibility analysis, due to very low rates of hypothermia requiring escalation of care. In total, 75 neonates were included, with 36 in the intervention (TempWatch) group and 39 in the control group. The rate of hypothermia requiring escalation of care was 2/36 (5.6%) in the TempWatch group and 1/39 (2.6%) in the control group (relative risk (RR) 2.17, 95% CI 0.21 to 22.89). Rates of exclusive breastfeeding at discharge were 22/36 (61.1%) in the TempWatch and 13/39 (33.3%) in the control group (RR 1.83, 95% CI 1.10 to 3.07, p = 0.02). All other secondary outcomes were similar between the groups. Conclusions: Low rates of hypothermia requiring escalation of care in a tertiary, high-income setting meant it was not feasible for studying the effects of the TempWatch for this outcome. TempWatch may have a role in promoting exclusive breastfeeding, and this needs to be explored further.

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Acceptability and feasibility of the BEMPU TempWatch for hypothermia monitoring in neonatal care in Ghana: a qualitative study of clinicians’ perspectives

Sheehama,

Dey,

Adade

et al. 2023

bmjph

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ObjectiveTo identify factors influencing the acceptability and feasibility of using the BEMPU TempWatch bracelet in a neonatal intensive care unit (NICU).Methods and analysisWe conducted in-depth interviews with 21 clinicians at Korle Bu Teaching Hospital in Accra, Ghana, after the bracelet had been introduced in a pilot programme. A purposive sampling technique was used to select participants for in-depth interviews. SPSS Statistical Software was used for the descriptive analysis of the participants’ demographic information. Dedoose V.9.0.54 was used to analyse interview data using a thematic analysis approach. We used the domains and constructs of the Conceptual Framework for Implementation Research framework to inform themes for the key implementation outcomes (acceptability and feasibility).ResultsMost participants found the bracelet’s use in neonatal care acceptable in theory. However, most participants found the bracelet not feasible in the NICU in its current state and suggested modifications to the bracelet’s alarm system, fit, cost and additional features to improve its utility. Participants’ acceptance hinged on attitudes towards the bracelet’s utility in the NICU and its relative advantages to the current standards of practice. The identified determinants of feasibility centred primarily around the complexities or challenges of incorporating the bracelet into routine care, affordability and its compatibility with the workload in the NICU.ConclusionModifications to the bracelet are required, and further research is needed to explore implementation strategies to effectively integrate an updated BEMPU TempWatch into routine care in the NICU and other settings.

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Preventing Excessive Postnatal Weight Loss in Healthy New-Borns. Will Continuous Temperature Monitoring Help?

Cited by 3 publications

References 11 publications

Temperature Monitoring Devices in Neonates

Temperature Monitoring Devices in Neonates

Decreasing Hypothermia-Related Escalation of Care in Newborn Infants Using the BEMPU TempWatch: A Randomised Controlled Trial

Acceptability and feasibility of the BEMPU TempWatch for hypothermia monitoring in neonatal care in Ghana: a qualitative study of clinicians’ perspectives

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