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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Effect of the use of a polyethylene wrap on the morbidity and mortality of very low birth weight infants in Alexandria university children's hospital
Journal of the Egyptian Public Health Association, Volume 87, No. 5-6, Year 2012
Notification
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Description
Background Thermal management of the very low birth weight (VLBW) infant (o1500 g) is a cornerstone of neonatology because thermal stress is an important determinant of survival. The present study aimed to evaluate the safety, efficacy, and feasibility of applying polyethylene occlusive skin wrapping to prevent hypothermia during resuscitation at birth in VLBW neonates. Participants and methods Using a quasi experimental nonrandomized study design, 50 preterm VLBW infants were wrapped immediately after birth by low-density polyethylene transparent plastic wraps and another 50 infants were subjected to ordinary resuscitation guidelines, and both were admitted to the newborn intensive care unit (NICU). Axillary temperatures were measured for both groups in the observational room, on NICU admission, and after 1 and 2 h. Results On admission to the NICU and after 1 and 2 h, the wrap group had significantly higher axillary temperatures than the other group (mean ± SD were 36.3± 0.511C, 36.9 ± 0.361C, 37.07 ± 0.181C and the P values were 0.0001, 0.0001, and 0.001,respectively). There was a significant increase in the duration of oxygen therapy, requirements for assisted mechanical ventilation, incidence of early hypoglycemia, and higher mortality rate among the infants in the nonwrap group.Conclusion Polyethylene transparent plastic wraps effectively help to prevent hypothermia in VLBW infants admitted to the NICU. It is recommended to include this safe, inexpensive tool for the management of VLBW and extremely low birth weight infants especially in the developing countries. © 2012 Egyptian Public Health Association.
Authors & Co-Authors
Abd-El Hamid, Shaimaa A.
Egypt, Alexandria
Faculty of Medicine
Badr-El Din, Mohamed M.
Egypt, Alexandria
Faculty of Medicine
Dabous, Nihad I.
Egypt, Alexandria
High Institute of Public Health
Saad, Khalid M.
Egypt, Alexandria
Faculty of Medicine
Statistics
Citations: 13
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1097/01.EPX.0000421565.24496.d9
ISSN:
00132446
e-ISSN:
2090262X
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Quasi Experimental Study