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American Academy of Pediatrics
Video Corner

Preventing Heat Loss in Infants <29 Weeks' Gestation

JoDee Anderson
NeoReviews March 2012, 13 (3) e196-e198; DOI: https://doi.org/10.1542/neo.13-3-e196
JoDee Anderson
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Case

Please read the following vignette and watch the video clip (Fig 1).

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Figure 1.

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A 27-5/7 week gestation infant is delivered via cesarean delivery to a mother with severe preeclampsia. Immediately after birth, the infant is vigorous and crying. Which of the following interventions are most effective at preventing heat loss in infants <29 weeks’ gestation?

  1. Dry the infant with a warm towel

  2. Increase the temperature of the delivery room to 26°C

  3. Place the infant under a preheated radiant warmer

  4. Place the infant on a portable warming pad

  5. Swaddle the infant in a warm blanket

  6. Wrap the infant in a polyethylene plastic

  1. a, b, c, d, e, f

  2. a, b, c, d, e

  3. a, b, c, d, f

  4. b, c, d, e, f

  5. b, c, d, f

Critique

Evidence supports the efficacy of plastic bags or plastic wrapping (food-grade, heat-resistant plastic), in addition to the routine radiant heat, in significantly improving the admission temperature of premature infants of <28 weeks’ gestational age, when compared with standard care (drying with a towel under a radiant heat …

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NeoReviews
Vol. 13, Issue 3
1 Mar 2012
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Preventing Heat Loss in Infants <29 Weeks' Gestation
JoDee Anderson
NeoReviews Mar 2012, 13 (3) e196-e198; DOI: 10.1542/neo.13-3-e196

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Preventing Heat Loss in Infants <29 Weeks' Gestation
JoDee Anderson
NeoReviews Mar 2012, 13 (3) e196-e198; DOI: 10.1542/neo.13-3-e196
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