Document Detail


Use of self-heating gel mattresses eliminates admission hypothermia in infants born below 28 weeks gestation.
MedLine Citation:
PMID:  19957190     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Hypothermia at birth is strongly associated with mortality and morbidity in pre-term infants. BACKGROUND: A local audit showed limited effectiveness of occlusive wrapping in preventing admission hypothermia in very pre-term infants. Self-heating acetate gel mattresses were introduced as a result to prevent hypothermia at birth in infants born at or below 28 weeks gestation. METHODS: A retrospective audit was conducted to evaluate the effectiveness of self-heating acetate gel mattresses at resuscitation of infants born at or below 28 weeks to prevent hypothermia at birth. All infants born at or below 28 weeks gestation during 18 months before and 18 months after self-heating acetate gel mattresses were introduced during resuscitation were included. RESULTS: One hundred five babies were born when acetate gel mattresses were not used, and 124 were born during the period when they were. Four (3.3%) babies were hypothermic (temperature <36 degrees C) at admission when the mattresses were used compared to 21 (22.6%) babies who were hypothermic during the period it was not (p < 0.001). Hyperthermia (temperature >37 degrees C) rose from 30.1% prior to use of gel mattresses to 49.6% when they were used (p = 0.004). CONCLUSIONS: Self-heating acetate gel mattresses are highly effective in reducing admission hypothermia in infants born at or below 28 weeks gestation. The use of these mattresses is associated with a significant increase in hyperthermia.
Authors:
C P Hafis Ibrahim; C W Yoxall
Publication Detail:
Type:  Journal Article     Date:  2009-12-04
Journal Detail:
Title:  European journal of pediatrics     Volume:  169     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  795-9     Citation Subset:  IM    
Affiliation:
Liverpool Women's Hospital, Crown Street, L8 7SS, Liverpool, UK.
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MeSH Terms
Descriptor/Qualifier:
Acetates
Beds*
England
Female
Fever / etiology
Gels
Hot Temperature / adverse effects,  therapeutic use*
Humans
Hypothermia / prevention & control*
Infant, Extremely Low Birth Weight*
Infant, Newborn
Infant, Premature*
Male
Medical Audit*
Retrospective Studies
Chemical
Reg. No./Substance:
0/Acetates; 0/Gels

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


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