Neonatal Hypothermia Clinical Trial
Official title:
Effect of a Servo-control System on Heat Loss in Very Low Birth Weight Infants at Birth: a Multicenter, Prospective, Randomized Controlled Trial
Hypothermia in preterm infants during the immediate postnatal phase is associated with
morbidity and mortality and remains an unresolved, worldwide challenge.
A list of interventions, including adequate room temperature, use of infant warmers,
polyethylene bags/wrap, pre-heated mattresses, caps and heated and humidified gases, to
prevent thermal loss at birth in very preterm infants has been recommended, but a certain
percentage of very preterm infants are hypothermic at the time of the neonatal intensive care
unit (NICU) admission suggesting that further measures are needed. The thermal
servo-controlled systems are routinely used in the NICU to accurately manage the patients'
temperature, but their role during the immediate postnatal phase has not been previously
assessed.
We hypothesized that using a thermal servo-control system at delivery could prevent heat loss
during this delicate phase and increase the percentage of very low birth weight infants
(VLBWI) in the normal thermal range (temperature 36.5-37.5°C) at NICU admission. The aim of
this study will be to compare two modes of thermal management (with and without the use of a
thermal servo-controlled system) for preventing heat loss at birth in VLBWI infants.
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