Document Detail

Thermoregulation and heat loss prevention after birth and during neonatal intensive-care unit stabilization of extremely low-birthweight infants.
MedLine Citation:
PMID:  17489935     Owner:  NLM     Status:  MEDLINE    
Extremely low-birthweight infants have inefficient thermoregulation due to immaturity and may exhibit cold body temperatures after birth and during their first 12 hours of life. Hypothermia in these infants can lead to increased morbidity and mortality. Anecdotal notes made during our recent study revealed extremely low-birthweight infants' temperatures decreased with caregiver procedures such as umbilical line insertion, intubations, obtaining chest x-rays, manipulating intravenous lines, repositioning, suctioning, and taking vital signs during the first 12 hours of life. Therefore, nursing interventions should be undertaken to prevent heat loss during these caregiver procedures. Nurses can improve the thermal environment for extremely low-birthweight infants by prewarming the delivery room and placing the infant in a plastic bag up to the neck during delivery room stabilization to prevent heat loss.
Robin Knobel; Diane Holditch-Davis
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  36     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2007-05-10     Completed Date:  2007-08-23     Revised Date:  2010-09-16    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  280-7     Citation Subset:  IM; N    
School of Nursing, University of North Carolina, Chapel Hill, NC, USA.
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MeSH Terms
Body Temperature Regulation
Hypothermia / nursing*,  prevention & control*
Infant Care / methods
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / nursing*
Infant, Very Low Birth Weight*
Intensive Care, Neonatal / organization & administration
Neonatal Nursing / organization & administration*
Nurse's Role
Nursing Assessment
Nursing Methodology Research
United States
Grant Support
1F31NR09143-01/NR/NINR NIH HHS
Republished in:
Adv Neonatal Care. 2010 Oct;10(5 Suppl):S7-14   [PMID:  20838082 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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