Efficacy of A Novel in Prevention of Neonatal Hypothermia
Study Details
Study Description
Brief Summary
The research was carried out to determine the effect of baby warmer swaddle, which has a heating system used after the birth of preterm babies, on the development of hypothermia.
Design: Randomized controlled clinical trial Setting: The research was carried out in the NICU of a training and research hospital in Istanbul.
Method: A total of 65 babies between 32-37 weeks of gestation were included in the study. In accordance with the routine procedure of the clinic, preterm babies wrapped in polyethylene bags after birth formed the control group (n=33), while babies wrapped in polyethylene bags and placed in a swaddle with a heating system formed the experimental group (n=32).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Although neonatal hypothermia has higher rates especially in underdeveloped and developing countries, it is a global health problem also seen in developed countries. In a meta-analysis study, the prevalence of neonatal hypothermia was reported as 57.2% in East Africa. In a multicenter, prospective study, 79.6% of preterm newborns were admitted to NICUs with hypothermia in Ethiopia. In a study, the incidence of hypothermia to be 53% in the first 24 hours of life in preterm infants they conducted in a hospital in France. In a study, in 28 countries with upper-middle income status, admission temperature data of a total of 454,617 very low birth weight infants from 2009 to 2016 were analyzed. Although these data showed an improvement in hypothermia rates ranging from 52.6% (2009) to 38.2% (2016), approximately 4 out of 10 infants experienced hypothermia when admitted to the NICU. Similarly, in the United Kingdom, the National Neonatal Monitoring Program reported the prevalence of hypothermia as 28% and 25% for babies born in 2015 and 2016, respectively, emphasizing hypothermia as an ongoing problem.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: polyethylene bag method polyethylene bag method: preterm babies will be placed in polythene bags after birth |
Other: polyethylene bag
polyethylene food bag
|
| Experimental: baby warmer swaddle method baby warmer swaddle group: preterm babies will be placed in baby warmer swaddle after birth |
Device: Baby warmer swaddle
Baby Swaddle with Heating System
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Neonatal hypothermia [immediately after birth]
Neonatal hypothermia is defined as temperature < 36.5C
- Neonatal hypothermia [20 minutes after birth]
Neonatal hypothermia is defined as temperature < 36.5C
- Neonatal hypothermia [40 minutes after birth]
Neonatal hypothermia is defined as temperature < 36.5C
- Neonatal hypothermia [60 minutes after birth]
Neonatal hypothermia is defined as temperature < 36.5C
Eligibility Criteria
Criteria
Inclusion Criteria: Preterms;
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between 32-37 GH,
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with an indication for hospitalization in the NICU,
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with a body temperature of 36.4 °C and above in the axillary route immediately after birth,
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with a maternal body temperature between 36.4 °C and 38 °C in the tympanic route are included in the study
Exclusion Criteria: preterms;
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with congenital anomalies,
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who were transported to another hospital, or who were transported to the hospital where the research was conducted from an external center
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Istanbul University-Cerrahpaşa | Istanbul | Turkey | 34381 |
Sponsors and Collaborators
- Istanbul University - Cerrahpasa (IUC)
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Sedacaglar