Efficacy of Polyethylene Wrap in Prevention of Hypothermia in Very Preterm and Very Low Birth Weight Neonates at Birth

Polyethylene Wrap to Prevent Hypothermia in Prematurity

Authors

  • Babar Ali Department of Paediatrics, Combined Military Hospital, Peshawar, Pakistan
  • Aamir Rahman Department of Paediatrics, Combined Military Hospital, Peshawar, Pakistan
  • Nayyar Ahmad Department of Paediatrics, Classified Child Specialist, Combined Military Hospital, Peshawar, Pakistan
  • Aqib Rashid Aqib Department of Paediatrics, Combined Military Hospital, Peshawar, Pakistan
  • Unaiza Nasir Department of Paediatrics, Combined Military Hospital, Peshawar, Pakistan
  • Abdul Jalil Department of Paediatrics, Combined Military Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v4i3.1457

Keywords:

Neonatal hypothermia prevention, very preterm infants, polyethylene wrap, low birth-weight, neonatal care, thermoregulation

Abstract

Background: Hypothermia is a significant risk factor for morbidity and mortality in very preterm and very low birth-weight neonates. Effective interventions to prevent hypothermia are critical in improving neonatal outcomes.
Objective: To determine the efficacy of polyethylene wraps in preventing hypothermia compared to standard care in very preterm and very low birth-weight neonates.
Methods: This quasi-experimental study was conducted from July 2023 to June 2024 at the Department of Paediatrics, Combined Military Hospital, Peshawar. A total of 198 neonates were randomly assigned to two groups: Group A (polyethylene wrap) and Group B (standard care). Axillary temperatures were recorded at specified intervals from birth to 24 hours. Hypothermia was defined as an axillary temperature <36.5°C, and its severity was classified as mild, moderate, or severe.
Results: Hypothermia occurred in 85.9% of neonates in Group A and 88.9% in Group B (p=0.521). Polyethylene wraps maintained significantly higher temperatures from 45 minutes post-birth onward (p<0.05) and reduced the need for additional interventions (p=0.001).
Conclusion: Polyethylene wraps effectively reduce the frequency of hypothermia-related interventions in very preterm and very low birth-weight neonates but do not significantly impact the overall incidence or severity of hypothermia.

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References

Alliance for Maternal and Newborn Health Improvement (AMANHI) GA Study Group. Population-Based Rates, Risk Factors and Consequences of Preterm Births in South Asia and Sub-Saharan Africa: A Multi-Country Prospective Cohort Study. J Glob Health. 2022;12(1):04011. doi: 10.7189/jogh.12.04011.

Abbas F, Kumar R, Mahmood T, Somrongthong R. Impact of Children Born With Low Birth Weight on Stunting and Wasting in Sindh Province of Pakistan: A Propensity Score Matching Approach. Sci Rep. 2021;11(1):19932. doi: 10.1038/s41598-021-98924-7.

Jia CH, Feng ZS, Lin XJ, Cui QL, Han SS, Jin Y, et al. Short-Term Outcomes of Extremely Low Birth Weight Infants From a Multicenter Cohort Study in Guangdong of China. Sci Rep. 2022;12(1):11119. doi: 10.1038/s41598-022-14432-2.

Yitayew YA, Aitaye EB, Lechissa HW, Gebeyehu LO. Neonatal Hypothermia and Associated Factors Among Newborns Admitted in the Neonatal Intensive Care Unit of Dessie Referral Hospital, Amhara Region, Northeast Ethiopia. Int J Pediatr. 2020;2020:3013427. doi: 10.1155/2020/3013427.

Sakr M, Balasundaram P. Neonatal Therapeutic Hypothermia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.

Ng'eny JC, Velaphi S. Hypothermia Among Neonates Admitted to the Neonatal Unit at a Tertiary Hospital in South Africa. J Perinatol. 2020;40(3):433-438. doi: 10.1038/s41372-019-0539-y.

Jain P, Dalal JS, Gathwala G. Rapid Vs. Slow Rewarming for Management of Moderate to Severe Hypothermia in Low-Birth-Weight Pre-Term Neonates: An Open-Label Randomized Controlled Trial. J Trop Pediatr. 2021;67(1). doi: 10.1093/tropej/fmaa098.

Cordeiro RC, Ferreira DM, Reis HD, Azevedo VM, Protázio AD, Abdallah VO. Hypothermia and Neonatal Morbimortality in Very Low Birth Weight Preterm Infants. Rev Paul Pediatr. 2021;40. doi: 10.1590/1984-0462/2022/40/2020349.

Hu XJ, Wang L, Zheng RY, Lv TC, Zhang YX, Cao Y, et al. Using Polyethylene Plastic Bag to Prevent Moderate Hypothermia During Transport in Very Low Birth Weight Infants: A Randomized Trial. J Perinatol. 2018;38(4):332-336. doi: 10.1038/s41372-017-0028-0.

Tourneux P, Durand E, Pelletier A, Ghyselen L, Bach V, Libert JP. Use of a Polyethylene Bag to Reduce Perioperative Regional and Whole-Body Heat Losses in Low-Birth-Weight Neonates. Biomed Res Int. 2017;2017:8243184. doi: 10.1155/2017/8243184.

Nimbalkar SM, Khanna AK, Patel DV, Nimbalkar AS, Phatak AG. Efficacy of Polyethylene Skin Wrapping in Preventing Hypothermia in Preterm Neonates (<34 Weeks): A Parallel Group Non-Blinded Randomized Control Trial. J Trop Pediatr. 2019;65(2):122-129. doi: 10.1093/tropej/fmy025.

Yoshida-Montezuma Y, Sivapathasundaram B, Brown HK, Keown-Stoneman C, de Souza RJ, To T, et al. Association of Late Preterm Birth and Size for Gestational Age With Cardiometabolic Risk in Childhood. JAMA Netw Open. 2022;5(5). doi: 10.1001/jamanetworkopen.2022.14379.

Günther V, Alkatout I, Stein A, Maass N, Strauss A, Voigt M. Impact of Smoking and Fetal Gender on Preterm Delivery. J Dev Orig Health Dis. 2021;12(4):632-637. doi: 10.1017/S2040174420000999.

Peelen MJ, Kazemier BM, Ravelli AC, De Groot CJ, Van Der Post JA, Mol BW, et al. Impact of Fetal Gender on the Risk of Preterm Birth: A National Cohort Study. Acta Obstet Gynecol Scand. 2016;95(9):1034-1041. doi: 10.1111/aogs.12929.

Cardona-Torres LM, Amador-Licona N, Garcia-Campos ML, Guizar-Mendoza JM. Polyethylene Wrap for Thermoregulation in the Preterm Infant: A Randomized Trial. Indian Pediatr. 2012;49(2):129-132. doi: 10.1007/s13312-012-0020-x.

Dixon KL, Carter B, Harriman T, Doles B, Sitton B, Thompson J. Neonatal Thermoregulation: A Golden Hour Protocol Update. Adv Neonatal Care. 2021;21(4):280-288. doi: 10.1097/ANC.0000000000000799.

Mank A, van Zanten HA, Meyer MP, Pauws S, Lopriore E, Te Pas AB. Hypothermia in Preterm Infants in the First Hours After Birth: Occurrence, Course and Risk Factors. PLoS One. 2016;11(11). doi: 10.1371/journal.pone.0164817.

Demissie BW, Abera BB, Chichiabellu TY, Astawesegn FH. Neonatal Hypothermia and Associated Factors Among Neonates Admitted to Neonatal Intensive Care Unit of Public Hospitals in Addis Ababa, Ethiopia. BMC Pediatr. 2018;18(1):263. doi: 10.1186/s12887-018-1238-0.

Liu J, Wu S, Zhu X. Advances in the Prevention and Treatment of Neonatal Hypothermia in Early Birth. Ther Hypothermia Temp Manag. 2022;12(2):51-56. doi: 10.1089/ther.2021.0036.

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Published

2024-08-30

How to Cite

Babar Ali, Aamir Rahman, Nayyar Ahmad, Aqib Rashid Aqib, Unaiza Nasir, & Abdul Jalil. (2024). Efficacy of Polyethylene Wrap in Prevention of Hypothermia in Very Preterm and Very Low Birth Weight Neonates at Birth: Polyethylene Wrap to Prevent Hypothermia in Prematurity. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1457