Cardboard Cot: Prevention of Moderate or Severe Hypothermia in Preterm Infants Assigned to Open Crib
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 11/16/2018 |
| Start Date: | June 30, 2019 |
| End Date: | May 31, 2021 |
| Contact: | Colm Travers, MB BCh BAO |
| Email: | ctravers@peds.uab.edu |
| Phone: | 205 934-4680 |
Cardboard Cot in Neonatal Thermoregulation: Prevention of Moderate or Severe Hypothermia in Preterm Infants Assigned to Open Crib
Infants with an estimated gestational age < 36 6/7 weeks at delivery who have been in an
incubator in the newborn ICU for at least 24 hours will be randomized to either standard
protocol of open crib or mylar-lined cardboard cot for the duration of the hospital stay.
Axillary temperatures will be taken 1 hr, 6 hrs, and 24 hours after being placed in the cot
or crib, and then once every 24 hours. All other care is provided as standard of care.
incubator in the newborn ICU for at least 24 hours will be randomized to either standard
protocol of open crib or mylar-lined cardboard cot for the duration of the hospital stay.
Axillary temperatures will be taken 1 hr, 6 hrs, and 24 hours after being placed in the cot
or crib, and then once every 24 hours. All other care is provided as standard of care.
Following parental consent, preterm infants with an estimated gestational age < 36 6/7 weeks
at delivery who have been in an incubator in the newborn ICU for at least 24 hours will be
randomized to to transfer either standard protocol of open crib or mylar-lined cardboard cot
when their temperatures are stable for transfer. The infants will remain in the cot or crib
for the duration of the hospital stay. Axillary temperatures will be taken 1 hr, 6 hrs, and
24 hours after being placed in the cot or crib, and then once every 24 hours. All other care
is provided as standard of care, including WHO warm chain thermoregulation guidelines of
early and exclusive breastfeeding, appropriate bundling and Kangaroo Mother Care as
continuously as possible.
If at any point a babies becomes moderately (32.0-35.9° C) or severely hypothermic (< 32.0°
C), an extra blanket will be added to their bodies and a hat placed on their heads.
at delivery who have been in an incubator in the newborn ICU for at least 24 hours will be
randomized to to transfer either standard protocol of open crib or mylar-lined cardboard cot
when their temperatures are stable for transfer. The infants will remain in the cot or crib
for the duration of the hospital stay. Axillary temperatures will be taken 1 hr, 6 hrs, and
24 hours after being placed in the cot or crib, and then once every 24 hours. All other care
is provided as standard of care, including WHO warm chain thermoregulation guidelines of
early and exclusive breastfeeding, appropriate bundling and Kangaroo Mother Care as
continuously as possible.
If at any point a babies becomes moderately (32.0-35.9° C) or severely hypothermic (< 32.0°
C), an extra blanket will be added to their bodies and a hat placed on their heads.
Inclusion Criteria:
- Estimated gestational age < 36 6/7 weeks
- Hospitalized in the newborn ICU at University Teaching Hospital
- Nursed in an incubator for at least 24 hours
- Thought to be ready to be weaned from incubator by the clinical staff
Exclusion Criteria:
- Major congenital anomalies
- Requiring ongoing respiratory support
- Suspected sepsis
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