Neonatal Skin Care

Darmstadt, Gary L.; Dinulos, James G.

doi:10.1016/s0031-3955(05)70239-x

Cited by 172 publications

(182 citation statements)

References 143 publications

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“…58 Forceful removal of vernix disrupts the skin barrier, and leads to skin cooling due to increased transepidermal water loss through the compromised skin barrier. 79 Postnatal confinement. Postnatal confinement is a common practice in most parts of South Asia and sub-Saharan Africa to seclude the mother from the newborn during the period of ritual pollution, to promote bonding between the mother and baby, and to protect the newborn against malefic influences such as the evil eye and evil spirits.…”

Section: Transportmentioning

confidence: 99%

“…A Cochrane review of polyethylene and polyurethane bags and wraps showed that they resulted in significantly lower rates of hypothermia among infants <32 weeks gestation. 79,100 Many of these bags and plastic sheets are locally available at low cost in low resource settings.…”

Section: Synthetic External Insulationmentioning

confidence: 99%

“…The application of topical agents, including paraffin 39,69 petrolatum, mineral oil and lanolin, 69 or corn, 77 sunflower, sesame or safflower oil, 69,79,80,101 have been shown to reduce transepidermal water loss and as well as loss of heat. This is especially relevant for preterm newborns with an immature skin barrier.…”

Section: Topical Agents and Oil Massagementioning

confidence: 99%

“…Vegetable oils can potentially augment nutrition and possibly aid in skin barrier development by the transcutaneous uptake of lipids. 69,79,80,101 Randomized trials among neonates are few, but Fernandez et al 101 in India showed that corn oil improved thermoregulation of infants. Although hypothermia was not a primary outcome in a study of sunflower seed oil massage in Egypt, the application improved skin condition among preterm infants.…”

Section: Topical Agents and Oil Massagementioning

confidence: 99%

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Neonatal hypothermia in low resource settings: a review

et al. 2009

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Background: Hypothermia is increasingly recognized as a major cause of neonatal morbidity and mortality in resource poor settings. High prevalence of hypothermia has been reported widely from warmer high mortality regions of Africa and South Asia. The World Health Organization recognizes newborn thermal care as a critical and essential component of essential newborn care; however, hypothermia continues to remain under-documented, under-recognized and under-managed.Objective: This review aims to provide a thorough patho-physioepidemiological discussion of neonatal hypothermia applied to local risk factors within the developing country context with particular emphasis on prevention, recognition and management.Method: All available published literature on neonatal hypothermia relevant to resource poor settings were reviewed. Studies from the developing country settings were primarily reviewed for epidemiology, domiciliary risk factors as well as potential interventions for thermal care.Result and Discussion: Functional integrity and efficiency of biological systems is critically dependent on an optimal and very narrow range of core body temperature. Risk factors for neonatal hypothermia differ markedly within low resource settings. A combination of physiological, behavioral and environmental factors universally put all newborns, irrespective of birth weight, at risk of hypothermia. The knowledge deficit along the continuum from health providers to primary care givers has sustained the silent epidemic of hypothermia. The challenges of recognition, understanding of local risk factors and communication have meant a lack of informed thermal care for newborns. Simple, feasible interventions exist, but need to be applied, based on local risk factors that disrupt the warm chain. Further research is needed to document local risk factors, develop better techniques for recognition, evaluation of thermal care within essential newborn care and communication strategies for program effectiveness. Keywords: hypothermia; skin-to-skin care; warm chain; community; newborn; neonatal health Introduction 'If a definition of life were required, it must be most clearly on that capacity, by which the animal preserves its proper heat under the various degrees of temperature of the medium in which it livesy a few degrees of increase or diminution of the heat of the system, produces disease and death' said James Currie some two centuries ago, recognizing the central importance of temperature regulation in health. 1 Although folklore associated with increased temperature or fever has been recorded throughout history across virtually every culture and civilization, a recognition of hypothermia and its clinical significance, particularly for newborn health is a relatively recent advance. 1,2 Moreover, progress toward thermal care of newborns in developed countries has far outstripped knowledge and practice in developing country settings, where 99% of global neonatal deaths occur. 3,4 Hypothermia during the newborn period is widely regarded as a...

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Section: Transportmentioning

confidence: 99%

Section: Synthetic External Insulationmentioning

confidence: 99%

Section: Topical Agents and Oil Massagementioning

confidence: 99%

Section: Topical Agents and Oil Massagementioning

confidence: 99%

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Neonatal hypothermia in low resource settings: a review

et al. 2009

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“…Optimizing skin integrity in neonates, especially in the crucial first week of life, is an important step toward improving neonatal health. 29 The use of Tegaderm s in these infants may lead to improved pulmonary outcome and possibly better survival without risk to the infants. Furthermore, Tegaderm s may be more cost-effective and convenient for use in NICUs when compared to humidified isolettes, though topical oils have also shown promise.…”

Section: Discussionmentioning

confidence: 99%

Improved Outcome of Extremely Low Birth Weight Infants with Tegaderm® Application to Skin

2005

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Significant fluid and electrolyte disturbances occur in extremely low birth weight (ELBW) infants in the first few days of life. We investigated the effect of semipermeable polyurethane membrane (Tegaderm s ) applied to the skin shortly after birth on fluid and electrolyte status and the clinical outcome in these infants. STUDY DESIGN:We reviewed charts of ELBW infants (BW<1.0 kg) born during 24 months prior to Tegaderm s application and 19 months after starting Tegaderm s . Data were collected daily from the first week of life and additional clinical morbidities were compared. RESULTS:A total of 39 infants from pre-Tegaderm s period (NOTEG) (mean±SD, BW 756±158 g, GA 26.1±1.9 weeks) were compared to 30 infants with extensive Tegaderm s application to chest, abdomen and extremities (TEG) (BW 802±160 g, GA 26.3±1.8 weeks). The groups were similar in maternal demographics as well as postnatal surfactant use. Throughout the first week of life, serum Na levels, daily fluid intake and daily weight loss were significantly higher in the NOTEG infants (all Pr0.04) while BUN/Serum creatinine levels were similar. Hypernatremia (Na>150 mEq/ l) developed in 51% of NOTEG infants compared to 17% of TEG (P ¼ 0.0005) and daily fluid intake Z170 ml/kg/day was required in 54 vs 13% (P ¼ 0.0008), respectively. The mean time to regain BW was significantly longer in NOTEG vs TEG infants, 20.7±7.4 vs 15.8±6.3 days, respectively (P<0.02). There were no statistical significant differences among the groups in incidence of IVH, NEC, PDA or nosocomial sepsis; however, respiratory outcome was better in TEG infants. They had significantly less BPD (58% in NOTEG vs 22% TEG (P ¼ 0.01)) and fewer infants in the TEG group required supplemental oxygen at discharge (58% vs 22% (P ¼ 0.01)). Survival was significantly higher in TEG 90% vs 64% in NOTEG infants (P ¼ 0.02). CONCLUSIONS:Semipermeable polyurethane membrane application to skin of ELBW infants shortly after birth decreased postnatal fluid and electrolyte disturbances and significantly improved their outcome by reducing severity of lung disease and decreasing mortality.

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Skin Regeneration from Multipotent Adult and Embryonic Stem Cells

Turksen¹,

Troy²

2006

Stem Cell and Gene-Based Therapy

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Neonatal Skin Care

Cited by 172 publications

References 143 publications

Neonatal hypothermia in low resource settings: a review

Neonatal hypothermia in low resource settings: a review

Improved Outcome of Extremely Low Birth Weight Infants with Tegaderm® Application to Skin

Skin Regeneration from Multipotent Adult and Embryonic Stem Cells

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