Early Skin-to-Skin Care with a Polyethylene Bag for Neonatal Hypothermia: A Randomized Clinical Trial
To determine whether early polyethylene bag use with skin-to-skin care compared with skin-to skin care alone reduce hypothermia among infants born at term in resource-limited settings. Infants born at term in the tertiary referral center in Lusaka, Zambia, were randomized using sequentially numbered...
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| Veröffentlicht in: | The Journal of pediatrics 2021-04, Vol.231, p.55-60.e1 |
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| container_title | The Journal of pediatrics |
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| creator | Travers, Colm P. Ramani, Manimaran Gentle, Samuel J. Schuyler, Amelia Brown, Catherine Dills, Madeline M. Davis, Claire B. Mwenechanya, Musaku Chomba, Elwyn Aban, Inmaculada Manasyan, Albert Ambalavanan, Namasivayam Carlo, Waldemar A. |
| description | To determine whether early polyethylene bag use with skin-to-skin care compared with skin-to skin care alone reduce hypothermia among infants born at term in resource-limited settings.
Infants born at term in the tertiary referral center in Lusaka, Zambia, were randomized using sequentially numbered sealed opaque envelopes in 2 phases: after birth (phase 1) and at 1 hour after birth (phase 2) to either skin-to-skin care with polyethylene bags or skin-to-skin care alone. Infant and maternal temperatures were recorded at birth, 1 hour, and every 4 hours until discharge or 24 hours.
We enrolled 423 infants from May 2017 to August 2017. The rate of moderate-severe hypothermia (temperature |
| doi_str_mv | 10.1016/j.jpeds.2020.12.064 |
| format | Article |
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Infants born at term in the tertiary referral center in Lusaka, Zambia, were randomized using sequentially numbered sealed opaque envelopes in 2 phases: after birth (phase 1) and at 1 hour after birth (phase 2) to either skin-to-skin care with polyethylene bags or skin-to-skin care alone. Infant and maternal temperatures were recorded at birth, 1 hour, and every 4 hours until discharge or 24 hours.
We enrolled 423 infants from May 2017 to August 2017. The rate of moderate-severe hypothermia (temperature <36.0°C) at 1 hour was 72 of 208 (34.6%) in the skin-to-skin care with a polyethylene bag group compared with 101 of 213 (47.4%) in the skin-to-skin care alone group (relative risk, 0.71; 95% CI 0.56-0.90; P < .01; number needed to treat = 8). phase 1 treatment assignment significantly modified the effect of phase 2 treatment (P = .02 for interaction effect). Among infants randomized to skin-to-skin care with a polyethylene bag in phase 1, the risk of moderate-severe hypothermia was decreased in infants randomized to continue this intervention until discharge compared with infants randomized to skin-to-skin care alone. The rates of severe hypothermia, hyperthermia, and other adverse events did not differ significantly between groups.
Low-cost polyethylene bags started after birth in combination with skin-to-skin care reduced moderate or severe hypothermia at 1 hour and at discharge among infants born at term in a resource-limited setting compared with skin-to-skin care alone.
ClinicalTrials.gov: NCT03141723.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2020.12.064</identifier><identifier>PMID: 33373672</identifier><language>eng</language><publisher>NEW YORK: Elsevier Inc</publisher><subject>Combined Modality Therapy ; Female ; global health ; Humans ; hyperthermia ; hypothermia ; Hypothermia - diagnosis ; Hypothermia - prevention & control ; infant ; Infant, Newborn ; kangaroo mother care ; Kangaroo-Mother Care Method ; Life Sciences & Biomedicine ; Male ; newborn ; Pediatrics ; perinatal ; plastic bag ; plastic wrap ; Polyethylene - therapeutic use ; polyethylene wrap ; Protective Clothing ; Science & Technology ; thermoregulation ; Treatment Outcome</subject><ispartof>The Journal of pediatrics, 2021-04, Vol.231, p.55-60.e1</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000631698500014</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c359t-4b754b3971255a485d325672fca527d78d0c2bd12f8ef70e867408f3dbda49e23</citedby><cites>FETCH-LOGICAL-c359t-4b754b3971255a485d325672fca527d78d0c2bd12f8ef70e867408f3dbda49e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2020.12.064$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27928,27929,45999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33373672$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Travers, Colm P.</creatorcontrib><creatorcontrib>Ramani, Manimaran</creatorcontrib><creatorcontrib>Gentle, Samuel J.</creatorcontrib><creatorcontrib>Schuyler, Amelia</creatorcontrib><creatorcontrib>Brown, Catherine</creatorcontrib><creatorcontrib>Dills, Madeline M.</creatorcontrib><creatorcontrib>Davis, Claire B.</creatorcontrib><creatorcontrib>Mwenechanya, Musaku</creatorcontrib><creatorcontrib>Chomba, Elwyn</creatorcontrib><creatorcontrib>Aban, Inmaculada</creatorcontrib><creatorcontrib>Manasyan, Albert</creatorcontrib><creatorcontrib>Ambalavanan, Namasivayam</creatorcontrib><creatorcontrib>Carlo, Waldemar A.</creatorcontrib><title>Early Skin-to-Skin Care with a Polyethylene Bag for Neonatal Hypothermia: A Randomized Clinical Trial</title><title>The Journal of pediatrics</title><addtitle>J PEDIATR-US</addtitle><addtitle>J Pediatr</addtitle><description>To determine whether early polyethylene bag use with skin-to-skin care compared with skin-to skin care alone reduce hypothermia among infants born at term in resource-limited settings.
Infants born at term in the tertiary referral center in Lusaka, Zambia, were randomized using sequentially numbered sealed opaque envelopes in 2 phases: after birth (phase 1) and at 1 hour after birth (phase 2) to either skin-to-skin care with polyethylene bags or skin-to-skin care alone. Infant and maternal temperatures were recorded at birth, 1 hour, and every 4 hours until discharge or 24 hours.
We enrolled 423 infants from May 2017 to August 2017. The rate of moderate-severe hypothermia (temperature <36.0°C) at 1 hour was 72 of 208 (34.6%) in the skin-to-skin care with a polyethylene bag group compared with 101 of 213 (47.4%) in the skin-to-skin care alone group (relative risk, 0.71; 95% CI 0.56-0.90; P < .01; number needed to treat = 8). phase 1 treatment assignment significantly modified the effect of phase 2 treatment (P = .02 for interaction effect). Among infants randomized to skin-to-skin care with a polyethylene bag in phase 1, the risk of moderate-severe hypothermia was decreased in infants randomized to continue this intervention until discharge compared with infants randomized to skin-to-skin care alone. The rates of severe hypothermia, hyperthermia, and other adverse events did not differ significantly between groups.
Low-cost polyethylene bags started after birth in combination with skin-to-skin care reduced moderate or severe hypothermia at 1 hour and at discharge among infants born at term in a resource-limited setting compared with skin-to-skin care alone.
ClinicalTrials.gov: NCT03141723.</description><subject>Combined Modality Therapy</subject><subject>Female</subject><subject>global health</subject><subject>Humans</subject><subject>hyperthermia</subject><subject>hypothermia</subject><subject>Hypothermia - diagnosis</subject><subject>Hypothermia - prevention & control</subject><subject>infant</subject><subject>Infant, Newborn</subject><subject>kangaroo mother care</subject><subject>Kangaroo-Mother Care Method</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>newborn</subject><subject>Pediatrics</subject><subject>perinatal</subject><subject>plastic bag</subject><subject>plastic wrap</subject><subject>Polyethylene - therapeutic use</subject><subject>polyethylene wrap</subject><subject>Protective Clothing</subject><subject>Science & Technology</subject><subject>thermoregulation</subject><subject>Treatment Outcome</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkV2L1DAUhoMo7rj6CwTJpSAd89UmFbxYy-oKi4qu1yFNTp2MbTMmGZf66804416KV-cQnvfk5AlCTylZU0Kbl9v1dgcurRlh5YStSSPuoRUlrawaxfl9tCKEsYoL2ZyhRyltCSGtIOQhOuOcS95ItkJwaeK44C_f_VzlUB0q7kwEfOvzBhv8KYwL5M0ywgz4jfmGhxDxBwizyWbEV8su5A3EyZtX-AJ_NrMLk_8FDnejn70tyE30ZnyMHgxmTPDkVM_R17eXN91Vdf3x3fvu4rqyvG5zJXpZi563krK6NkLVjrO6rDlYUzPppHLEst5RNigYJAHVSEHUwF3vjGiB8XP0_Dh3F8OPPaSsJ58sjKOZIeyTZkJy1cpGqYLyI2pjSCnCoHfRTyYumhJ98Ku3-o9fffCrKdPFb0k9O12w7ydwd5m_QgugjsAt9GFI1sNs4Q4rP9Bw2rSqLh0Vnc8m-zB3YT_nEn3x_9FCvz7SUHz-9BD1KeF8BJu1C_6fL_kNLousuQ</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Travers, Colm P.</creator><creator>Ramani, Manimaran</creator><creator>Gentle, Samuel J.</creator><creator>Schuyler, Amelia</creator><creator>Brown, Catherine</creator><creator>Dills, Madeline M.</creator><creator>Davis, Claire B.</creator><creator>Mwenechanya, Musaku</creator><creator>Chomba, Elwyn</creator><creator>Aban, Inmaculada</creator><creator>Manasyan, Albert</creator><creator>Ambalavanan, Namasivayam</creator><creator>Carlo, Waldemar A.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202104</creationdate><title>Early Skin-to-Skin Care with a Polyethylene Bag for Neonatal Hypothermia: A Randomized Clinical Trial</title><author>Travers, Colm P. ; Ramani, Manimaran ; Gentle, Samuel J. ; Schuyler, Amelia ; Brown, Catherine ; Dills, Madeline M. ; Davis, Claire B. ; Mwenechanya, Musaku ; Chomba, Elwyn ; Aban, Inmaculada ; Manasyan, Albert ; Ambalavanan, Namasivayam ; Carlo, Waldemar A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-4b754b3971255a485d325672fca527d78d0c2bd12f8ef70e867408f3dbda49e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Combined Modality Therapy</topic><topic>Female</topic><topic>global health</topic><topic>Humans</topic><topic>hyperthermia</topic><topic>hypothermia</topic><topic>Hypothermia - diagnosis</topic><topic>Hypothermia - prevention & control</topic><topic>infant</topic><topic>Infant, Newborn</topic><topic>kangaroo mother care</topic><topic>Kangaroo-Mother Care Method</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>newborn</topic><topic>Pediatrics</topic><topic>perinatal</topic><topic>plastic bag</topic><topic>plastic wrap</topic><topic>Polyethylene - therapeutic use</topic><topic>polyethylene wrap</topic><topic>Protective Clothing</topic><topic>Science & Technology</topic><topic>thermoregulation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Travers, Colm P.</creatorcontrib><creatorcontrib>Ramani, Manimaran</creatorcontrib><creatorcontrib>Gentle, Samuel J.</creatorcontrib><creatorcontrib>Schuyler, Amelia</creatorcontrib><creatorcontrib>Brown, Catherine</creatorcontrib><creatorcontrib>Dills, Madeline M.</creatorcontrib><creatorcontrib>Davis, Claire B.</creatorcontrib><creatorcontrib>Mwenechanya, Musaku</creatorcontrib><creatorcontrib>Chomba, Elwyn</creatorcontrib><creatorcontrib>Aban, Inmaculada</creatorcontrib><creatorcontrib>Manasyan, Albert</creatorcontrib><creatorcontrib>Ambalavanan, Namasivayam</creatorcontrib><creatorcontrib>Carlo, Waldemar A.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Travers, Colm P.</au><au>Ramani, Manimaran</au><au>Gentle, Samuel J.</au><au>Schuyler, Amelia</au><au>Brown, Catherine</au><au>Dills, Madeline M.</au><au>Davis, Claire B.</au><au>Mwenechanya, Musaku</au><au>Chomba, Elwyn</au><au>Aban, Inmaculada</au><au>Manasyan, Albert</au><au>Ambalavanan, Namasivayam</au><au>Carlo, Waldemar A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Skin-to-Skin Care with a Polyethylene Bag for Neonatal Hypothermia: A Randomized Clinical Trial</atitle><jtitle>The Journal of pediatrics</jtitle><stitle>J PEDIATR-US</stitle><addtitle>J Pediatr</addtitle><date>2021-04</date><risdate>2021</risdate><volume>231</volume><spage>55</spage><epage>60.e1</epage><pages>55-60.e1</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>To determine whether early polyethylene bag use with skin-to-skin care compared with skin-to skin care alone reduce hypothermia among infants born at term in resource-limited settings.
Infants born at term in the tertiary referral center in Lusaka, Zambia, were randomized using sequentially numbered sealed opaque envelopes in 2 phases: after birth (phase 1) and at 1 hour after birth (phase 2) to either skin-to-skin care with polyethylene bags or skin-to-skin care alone. Infant and maternal temperatures were recorded at birth, 1 hour, and every 4 hours until discharge or 24 hours.
We enrolled 423 infants from May 2017 to August 2017. The rate of moderate-severe hypothermia (temperature <36.0°C) at 1 hour was 72 of 208 (34.6%) in the skin-to-skin care with a polyethylene bag group compared with 101 of 213 (47.4%) in the skin-to-skin care alone group (relative risk, 0.71; 95% CI 0.56-0.90; P < .01; number needed to treat = 8). phase 1 treatment assignment significantly modified the effect of phase 2 treatment (P = .02 for interaction effect). Among infants randomized to skin-to-skin care with a polyethylene bag in phase 1, the risk of moderate-severe hypothermia was decreased in infants randomized to continue this intervention until discharge compared with infants randomized to skin-to-skin care alone. The rates of severe hypothermia, hyperthermia, and other adverse events did not differ significantly between groups.
Low-cost polyethylene bags started after birth in combination with skin-to-skin care reduced moderate or severe hypothermia at 1 hour and at discharge among infants born at term in a resource-limited setting compared with skin-to-skin care alone.
ClinicalTrials.gov: NCT03141723.</abstract><cop>NEW YORK</cop><pub>Elsevier Inc</pub><pmid>33373672</pmid><doi>10.1016/j.jpeds.2020.12.064</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Combined Modality Therapy Female global health Humans hyperthermia hypothermia Hypothermia - diagnosis Hypothermia - prevention & control infant Infant, Newborn kangaroo mother care Kangaroo-Mother Care Method Life Sciences & Biomedicine Male newborn Pediatrics perinatal plastic bag plastic wrap Polyethylene - therapeutic use polyethylene wrap Protective Clothing Science & Technology thermoregulation Treatment Outcome |
| title | Early Skin-to-Skin Care with a Polyethylene Bag for Neonatal Hypothermia: A Randomized Clinical Trial |
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