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Drying Very Preterm Infants Before Plastic Wrapping at Birth: A Randomized Clinical Trial - PubMed

4 hours ago
  • #thermal management
  • #preterm infants
  • #neonatal care
  • The study compared two thermal management strategies for very preterm infants: drying before plastic wrapping versus plastic wrapping without drying.
  • The primary outcome was normothermia (36.5-37.5 °C) at NICU admission, with no significant difference between the two groups (45.8% vs. 46.3%).
  • There was no significant difference in mean temperature at NICU admission between dried and undried infants (36.4 °C vs. 36.5 °C).
  • In-hospital mortality was higher in the dried group (14.7%) compared to the undried group (5.6%), but this was not linked to the intervention.
  • Approximately half of the infants were outside the normal thermal range at NICU admission, indicating thermal management remains a challenge.
  • The study concluded that drying before plastic wrapping provided no additional benefit in maintaining normothermia for very preterm infants.