• J Obstet Gynecol Neonatal Nurs · Mar 2014

    Randomized Controlled Trial Comparative Study

    Heat loss prevention (help) after birth in preterm infants using vinyl isolation bag or polyethylene wrap.

    • Seda Çağlar, Duygu Gözen, and Zeynep Ince.
    • J Obstet Gynecol Neonatal Nurs. 2014 Mar 1;43(2):216-23.

    ObjectiveTo examine the effects of using vinyl isolation bags or polyethylene wrap for the prevention of postnatal hypothermia in preterm infants at ≤ 32 weeks gestation.DesignA prospective, randomized controlled trial.SettingThe neonatal intensive care unit (NICU) of the Istanbul Faculty of Medicine in Turkey.ParticipantsFifty-nine preterm infants.MethodsParticipants were randomly assigned to either the vinyl isolation-bag experimental group (n = 22) or the polyethylene-wrap control group (n = 37). Infant body temperature was measured at four time points after birth.ResultsLoss of body temperature was significantly less in the vinyl isolation-bag group during the first 60 minutes after birth (p = .041). Body temperature decreased by 1.41 ± 1.65 °C in the vinyl isolation-bag group and 2.75 ± 1.68 °C in the polyethylene wrap group. Body temperature was significantly less in the polyethylene wrap group compared to the vinyl isolation-bag group at birth to 60 minutes (p = .004).ConclusionWrapping preterm infants of gestational age ≤ 32 weeks in vinyl bags immediately after birth is associated with lower incidences of hypothermia.© 2014 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

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