Premature birth is considered to be a substantial problem in perinatal medicine, which in the vast majority of cases (>60%), concerns African and South Asian countries. Nevertheless, prematurity is a global problem and is faced by both less-developed (where 12% of babies are prematurely born) and well-developed countries (with 9% prematurity rate) [1, 2]. The percentage of children born prematurely, i.e., before the 37th week of pregnancy, was 8.7% in Europe, while, in Poland, it was 7.34% [3]. Care of prematurely born babies is a huge challenge for parents and medical staff in the neonatal intensive care unit. Preterm infants, because of their low weight and gestational age, are prone to health problems and even death. For this reason, continuous monitoring of health parameters plays an important role. It is achieved by the use of various sensors that are inserted in infants’ garments. Sensor systems monitor an infant’s health condition, and then the data are transmitted to doctors or parents. This article is for illustrative purposes, aimed at presenting solutions such as the use of sensors for monitoring infants’ physiological parameters.
Preterm infants, due to immature and dysfunctional skin, have increased water loss through the skin and consequently a decreased body temperature. In order to develop protective garments for preterm infants, it is important to select materials that will protect the child against water and heat loss. The authors are currently involved in the development of protective garments for premature babies, which are similar to baby clothes and contain a membrane that is partially permeable for vapor in combination with textile materials. This article presents the study of materials intended for the production of protective garments for pre-term infants. Samples of materials were investigated to determine biophysical comfort (tests of heat resistance, vapor resistance according to PN-EN ISO 11092:2014-11 and air permeability according to PN-EN ISO 9237) and porosity, surface mass in accordance with PN-EN 12127, and thickness in accordance with PN-EN ISO 5084. In order to determine the porosity of materials and to visualize the structure, tests on computer microtomography were carried out. The mechanical properties of the tested materials and the evaluation of the total hand value were characterized; the samples were tested on the KES device. The aim of this study was to select the most suitable fabrics for protective garments for premature infants to prevent excessive heat and moisture loss from the body, which can lead to hypothermia. For laminates, the optimal results of vapor resistance and heat resistance were obtained for laminate (15 g·m−2 PE foil + 15 g·m−2 PP non-woven), with a level of thermal resistance of 0.0766 m2·K·W−1 and vapor resistance of 188.729 m2·Pa·W−1, and for laminate (15 g·m−2 PE foil + 10 g·m−2 PP non-woven), with a level of thermal resistance of 0.0683 m2·K·W−1 and vapor resistance of 164.085 m2·Pa·W−1. For knitted fabrics, knitwear single cotton 155 g·m−2 showed the highest thermal resistance (0.0296 m2·K·W−1), and knitwear interlock polyester 120 g·m−2 showed the lowest thermal resistance (0.0179 m2·K·W−1). Knitwear cotton 120 g·m−2 had the highest water vapor resistance (8.402 m2·Pa·W−1), while knitwear interlock polyester 130 g·m−2 sample had the lowest resistance (6.356 m2·Pa·W−1). Garments for premature babies should have moisture barrier properties and high thermal insulation. They should also be characterized by optimal air permeability properties. Sample two-layer laminate (15 g·m−2 PE foil + 15 g·m−2 PP non-woven) had the best vapor resistance and thermal insulation properties. Moreover, this sample was characterized by good air permeability and surface weight compared to the other laminate samples. During the design of garments for premature babies, it is important to reduce the surface weight to as low as possible. Among the knitted fabrics, a knitwear single cotton 120 g·m−2 knitwear polyester interlock 120 g·m−2 was selected for having the best THV or tactile comfort. In addition, these knits were chosen for their lower surface weight. Based on the conducted tests, two-layer laminate (15 g·m−2 PE foil + 15 g·m−2 PP non-woven), the knitwear single cotton 120 g·m−2, and knitwear polyester interlock 120 g·m−2 were selected for further research.
One of the most significant problems occurring among premature babies is high transepidermal water loss and associated heat loss. To prevent this problem protective clothing for premature babies is developed which consists of a membrane that allows partial transmission of water vapor, combined with other textile materials. The purpose of this work is to characterize two pre‐selected three‐layer systems in terms of biophysical properties that fulfill their requirements for premature infants. Samples of materials are investigated to determine biophysical comfort (tests of thermal resistance, water vapor resistance and air permeability), mass per unit area and thickness. In order to visualize the structure and chemical composition of the tested materials, Scanning Electron Microscopy (SEM) were performed. The mechanical properties of the investigated materials and the evaluation of the total hand value were also characterized; the samples were tested on a Kawabata Evaluation System (KES) device. Protective garments designed for premature babies should be characterized by high thermal insulation and moisture barrier properties. In addition, it should have optimal air permeability properties and fairly low surface weight in order not to burden the baby's delicate skin.
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