Challenges of minimizing heat loss at birth: A narrative overview of evidence-based thermal care interventions

Emma McCall*, Fiona Alderdice, H Halliday, Linda Johnston, Sunita Vohra

*Corresponding author for this work

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Evidence-based thermal care recommendations designed to minimize heat loss immediately at birth are readily available however, hypothermia still persists as a global challenge especially when caring for the most immature and smallest preterm infants. In this narrative overview we aim to provide the reader with a succinct summary of the causes and consequences of hypothermia, the extent of the problem (rates of hypothermia), principles of good thermal care, delivery room preventative measures, the research evidence underpinning existing interventions, current issues in practice, and the way forward. Due to the plethora of research literature available in this subject area, our article will focus primarily on evidence derived from systematic reviews and randomized or quasi-randomized controlled trials assessing the effectiveness of interventions to prevent hypothermia in the most vulnerable (preterm/low birth weight) infants where the intervention or combination of interventions is applied immediately at birth.

Original languageEnglish
Pages (from-to)56-63
Number of pages8
JournalNewborn and Infant Nursing Reviews
Volume14
Issue number2
Early online date13 Mar 2014
DOIs
Publication statusPublished - Jun 2014

Keywords

  • Birth
  • Heat loss
  • Hypothermia
  • Thermal care interventions

ASJC Scopus subject areas

  • Pediatrics

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