Warming preterm infants in the delivery room: polyethylene bags, exothermic mattresses or both?
Article first published online: 4 OCT 2011
© 2011 The Author(s)/Acta Pædiatrica © 2011 Foundation Acta Pædiatrica
Volume 100, Issue 12, pages 1534–1537, December 2011
How to Cite
McCarthy, L. K. and O’Donnell, C. P. (2011), Warming preterm infants in the delivery room: polyethylene bags, exothermic mattresses or both?. Acta Paediatrica, 100: 1534–1537. doi: 10.1111/j.1651-2227.2011.02375.x
- Issue published online: 8 NOV 2011
- Article first published online: 4 OCT 2011
- Accepted manuscript online: 3 JUN 2011 10:03AM EST
- Received 31 March 2011; revised 3 May 2011; accepted 31 May 2011.
- Exothermic mattress;
- Polyethylene bag;
Aims: To compare the admission temperature of infants treated with polyethylene bags alone to infants treated with exothermic mattresses in addition to bags in the delivery room.
Methods: We prospectively studied infants born at <31 weeks’ gestation who were placed in bags at birth. Some infants were also placed on mattresses. Admission axillary temperatures were measured in all infants on admission to the neonatal intensive care. We compared the temperatures of infants treated with bags alone to those treated with mattresses and bags.
Results: We studied 43 infants: 15 were treated with bags while 28 were treated with a bag and mattress. Mean admission temperature was similar between the groups. Hypothermia and hyperthermia occurred more frequently in infants treated with a bag and mattress, and more infants treated with a bag had admission temperatures 36.5–37.5°C.
Conclusion: The use of exothermic mattresses in addition to polyethylene bags, particularly in younger, smaller newborns, may result in more hypothermia and hyperthermia on admission. A randomised controlled trial is necessary to determine which strategy results in more infants having admission temperatures in the normal range.