Betancourt-Fuentes CE, Vásquez-Mendoza MG, Bañuelos-Romero IE, Fernández-Olivas MM, González-Segura ME, Rodríguez-González NA

Language: Spanish
References: 30
Page: 135-140
PDF size: 98.08 Kb.

ABSTRACT

Introduction: Hypothermia is a critical factor during the first hours on the life of a pre-term new born; and it seems that the polyethylene would reduce heat lost.
Objective: To compare the body temperature on the pre-term new born using the polyethylene vs. habitual maneuver within the first hour of life.
Methodology: Controlled clinic trial; 30 patients from the controlled group y and 30 more from the experimental were studied. The pre-term new born on the study group were covered from shoulder down with a polyethylene plastic, their heads were covered with a cotton cap; meanwhile, the controlled group was wrapped around a preheated blanket and cotton cap; both groups were placed on in a radiant heat frame. At one minute of life on both groups, the axilar temperature from the premature and the incubator were taken every 15 minutes during one hour. Descriptive statistic and t-student were done.
Results: Regarding general characteristics on both groups there was not statistical difference; the corporal temperature records during the first hour of life in both groups was increased being higher for the study group in relation to the control group; on group B vs A, the temperature increment, since the first 15 minutes, had a statistical difference (p=0.02), at 30’ (p=0.01), at 45’ (p=0.001) and at 60’ (p=0.0001). Temperature comparison in both groups did not show up statistical difference.
Conclusions: It is recommended application of polyethylene during the first hours of life on a pre-term new born.

REFERENCES

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6. Lenclen R, Mazraani M, Jugie M, Couderc S, Hoenn E, Carbajal R, et al. Utilisation d’un sac en polyethylene: un moyen d’ameliorer l’environnement thermique du premature en salle de naissance. Arch Pediatr 2002; 9(3):238-244.

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9. Vohra S, Frent G, Campbell V, Abbott M, Whyte R. Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery: a randomized trial. J Pediatr 1999; 134(5):547-51.

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11. Bredemeyer S, Reid S, Wallace M. Thermal management for premature births. J Adv Nurs 2005; 52(5):482-489.

12. Newton T, Watkinson M. Preventing hypothermia at birth in preterm babies: at a cost of overheating some? Arch Dis Child Fetal Neonatal Ed. 2003; 88(3): F256.

13. Kattwinkel J, editor. Textbook of neonatal resuscitation. 5th Ed. American Academy of Pediatrics and American Heart Association, 2006.

14. Meyer MP. Swaddling and heat loss. Arch Dis Child Fetal Neonatal Ed 2003; 88(3):F256.

15. McNeill T, Wallace M. Thermal management at resuscitation. Royal Prince Alfred Hospital, UK. Department of Neonatal Medicine Protocol Book, 2002: [en linea]. http://www.cs. nsw.gov.au/rpa/neonatal/html/nursing/gladwrap.htm [Consultado 21/07/2007].

16. Wong DL. Promoción de la salud del recién nacido y de la familia. En: Whaley L, Wong DL. Tratado de enfermería pediátrica. 4ª ed. México: McGraw-Hill Interamericana, 1998. pp. 149-91.

17. Gutiérrez-Camelo AY, Infante-Noguera MT, Jiménez-Cárdenas MD. Niño-Miranda N. Regulación de la temperatura del recién nacido después del baño. Actual Enferm 2004; 7(4): 7-11.

18. Niño-Tovar MA. Manejo integral del recién nacido pretérmino de muy bajo peso y edad gestacional. [en línea] http://encolombia.com/medicina/pediatria/pediatria38203-manejointegral.htm [Consultado 21/07/2007].

19. Brück K. Temperature regulation of the newborn infant. Biol Neonate 1961; 3:65-119.

20. Mena P, Meneses R. Termorregulación del recién nacido. Rev Chil Pediatr 2002; 73(2):192-193.

21. Lenclen R, Mazraani M, Jugie M, Couderc S, Hoenn E, Carbajal R, et al. Utilisation d’un sac en polyethylene: un moyen d’ameliorer l’environnement thermique du premature en salle de naissance. Arch Pediatr 2002; 9(3):238-244.

22. Vohra S, Roberts RS, Zhang B, Janes M, Schmidt B. Heat Loss Prevention (HeLP) in the delivery room: A randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants. J Pediatr 2004; 145(6):750-753.

23. Duman N, Utkutan S, Kumral A, Koroglu TF, Ozkan H. Polyethylene skin wrapping accelerates recovery from hypothermia in very low-birthweight infants. Pediatr Int 2006; 48(1):29-32.

24. Vohra S, Frent G, Campbell V, Abbott M, Whyte R. Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery: a randomized trial. J Pediatr 1999; 134(5):547-51.

25. Lyon AJ, Stenson B. Cold comfort for babies. Arch Dis Child Fetal Neonatal Ed 2004; 89(1):F93-94.

26. Bredemeyer S, Reid S, Wallace M. Thermal management for premature births. J Adv Nurs 2005; 52(5):482-489.

27. Newton T, Watkinson M. Preventing hypothermia at birth in preterm babies: at a cost of overheating some? Arch Dis Child Fetal Neonatal Ed. 2003; 88(3): F256.

28. Kattwinkel J, editor. Textbook of neonatal resuscitation. 5th Ed. American Academy of Pediatrics and American Heart Association, 2006.

29. Meyer MP. Swaddling and heat loss. Arch Dis Child Fetal Neonatal Ed 2003; 88(3):F256.

30. McNeill T, Wallace M. Thermal management at resuscitation. Royal Prince Alfred Hospital, UK. Department of Neonatal Medicine Protocol Book, 2002: [en linea]. http://www.cs. nsw.gov.au/rpa/neonatal/html/nursing/gladwrap.htm [Consultado 21/07/2007].