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  • Title: Application of plastic wrap to improve temperatures in infants born less than 30 weeks gestation: a randomized controlled trial.
    Author: Smith J, Usher K, Alcock G, Buettner P.
    Journal: Neonatal Netw; 2013; 32(4):235-45. PubMed ID: 23835543.
    Abstract:
    PURPOSE: The primary aim of the study was to evaluate whether the application of a plastic wrap immediately after birth is more effective than the standard care of temperature management for improving admission temperatures to the neonatal intensive care unit (NICU) in infants <30 weeks gestation. DESIGN: A randomized controlled trial was conducted. Infants in the intervention group were transferred to a prewarmed radiant heater immediately after birth and encased in NeoWrap from the neck down without being dried. The infant's head was dried with a prewarmed towel and a hat added. The control group received usual care for the unit; the infant was transferred to the prewarmed radiant warmer and dried, and warm towels and a hat are then applied. SAMPLE: A total of 92 infants were analyzed: 49 in the control group and 43 in the intervention group; 48 (52.2 percent) were <27 weeks gestation, and 44 (47.8 percent) were <30 weeks gestation. The infants' temperatures were assessed for two hours following admission.
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