The use of polythene bags for delivery-room thermoregulation in premature babies across england

Evidence of moderate quality shows that use of plastic wraps or bags compared with routine care led to higher temperatures on admission to NICUs with less hypothermia, particularly for extremely preterm infants. Thermal mattresses and SSC also reduced hypothermia risk when compared with routine care, but findings are based on two or fewer small studies. Caution must be taken to avoid iatrogenic hyperthermia, particularly when multiple interventions are used simultaneously. Limited evidence suggests benefit and no evidence of harm for most short-term morbidity outcomes known to be associated with hypothermia, including major brain injury, bronchopulmonary dysplasia, retinopathy of prematurity, necrotising enterocolitis, and nosocomial infection. Many observational studies have shown increased mortality among preterm hypothermic infants compared with those who maintain normothermia, yet evidence is insufficient to suggest that these interventions reduce risk of in-hospital mortality across all comparison groups. Hypothermia may be a marker for illness and poorer outcomes by association rather than by causality. Limitations of this review include small numbers of identified studies; small sample sizes; and variations in methods and definitions used for hypothermia, hyperthermia, normothermia, routine care, and morbidity, along with lack of power to detect effects on morbidity and mortality across most comparison groups. Future studies should: be adequately powered to detect rarer outcomes; apply standardised morbidity definitions; focus on longer-term outcomes, particularly neurodevelopmental outcomes.

show abstract

Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants

McCall

Alderdice

Halliday

et al. 2018

Cochrane Database of Systematic Reviews

253

211

View full text Add to dashboard Cite

show abstract

Impact of an Infant Transport Mattress on CT Dose and Image Quality

Sensakovic

Agha

Hough³

et al. 2016

Academic Radiology

View full text Add to dashboard Cite

Challenges of Minimizing Heat Loss at Birth: A Narrative Overview of Evidence-Based Thermal Care Interventions

McCall

Alderdice

Halliday

et al. 2014

Newborn and Infant Nursing Reviews

View full text Add to dashboard Cite

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

The use of polythene bags for delivery-room thermoregulation in premature babies across england

Cited by 4 publications

References 0 publications

Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants

Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants

Impact of an Infant Transport Mattress on CT Dose and Image Quality

Challenges of Minimizing Heat Loss at Birth: A Narrative Overview of Evidence-Based Thermal Care Interventions

Contact Info

Product

Resources

About