TY - JOUR
T1 - Vinyl bags prevent hypothermia at birth in preterm infants
AU - Mathew, Bobby
AU - Lakshminrusimha, Satyanarayana
AU - Cominsky, Katherine
AU - Schroder, Eileen
AU - Carrion, Vivien
PY - 2007/3/1
Y1 - 2007/3/1
N2 - Objective. To compare the effect of standard care vs. the use of vinyl bags (Vi-Drape® isolation bag) on admission temperature in extremely premature infants ≥28 weeks gestational age at birth. Methods. Twenty seven premature infants with similar baseline characteristics were assigned and placed in vinyl bags (n=14) immediately following delivery without drying or received standard care (controls, n=13), including drying and placement under a radiant warmer. Axillary temperature was recorded on admission to the neonatal unit. Results. The average temperature in the vinyl bag group was significantly higher (35.9 ± 0.13 vs 34.9 ± 0.24°C, p = 0.002). Although the cord blood pH was similar between the two groups (7.33+0.02 in the vinyl bag group and 7.33 ± 0.01 in the control group), the worst pH in the first 6 hours of life was significantly lower in the control group (7.32 ± 0.02 vs 7.22 ± 0.04, p = 0.03). There was a significant increase in maximal oxygen requirement during the first 24h in the control group (82.9 vs 43.3% in the vinyl bag group, p = 0.0004). Conclusion. Vinyl bags prevent heat loss and are a simple and effective intervention in preventing hypothermia in the delivery room and early acidosis in premature infants.
AB - Objective. To compare the effect of standard care vs. the use of vinyl bags (Vi-Drape® isolation bag) on admission temperature in extremely premature infants ≥28 weeks gestational age at birth. Methods. Twenty seven premature infants with similar baseline characteristics were assigned and placed in vinyl bags (n=14) immediately following delivery without drying or received standard care (controls, n=13), including drying and placement under a radiant warmer. Axillary temperature was recorded on admission to the neonatal unit. Results. The average temperature in the vinyl bag group was significantly higher (35.9 ± 0.13 vs 34.9 ± 0.24°C, p = 0.002). Although the cord blood pH was similar between the two groups (7.33+0.02 in the vinyl bag group and 7.33 ± 0.01 in the control group), the worst pH in the first 6 hours of life was significantly lower in the control group (7.32 ± 0.02 vs 7.22 ± 0.04, p = 0.03). There was a significant increase in maximal oxygen requirement during the first 24h in the control group (82.9 vs 43.3% in the vinyl bag group, p = 0.0004). Conclusion. Vinyl bags prevent heat loss and are a simple and effective intervention in preventing hypothermia in the delivery room and early acidosis in premature infants.
KW - Hypothermia
KW - Prematurity
KW - Vinyl bags
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U2 - 10.1007/s12098-007-0039-5
DO - 10.1007/s12098-007-0039-5
M3 - Article
C2 - 17401263
AN - SCOPUS:34249810951
VL - 74
SP - 249
EP - 253
JO - Indian Journal of Pediatrics
JF - Indian Journal of Pediatrics
SN - 0019-5456
IS - 3
ER -