290 results match your criteria babies radiant

Comparison of Three Different Cord Clamping Techniques Regarding Oxidative-antioxidative Capacity in Term Newborns.

Am J Perinatol 2022 Jan 13. Epub 2022 Jan 13.

Biochemistry, Gaziantep University, Gaziantep, Turkey.

Objective As newborns are exposed to oxidative stress during delivery, cord clamping techniques play significant role on antioxidant status. In this study, we aimed to show the relationship between early cord clamping (ECC), delayed cord clamping (DCC) and cut umblical cord milking (C-UCM) techniques with total oxidant capacity (TOC), total antioxidant capacity (TAC) and peroxynitrite levels. Study Design Sixty-nine term infants were selected with APGAR score of 7 and above in the first and fifth minutes. Read More

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January 2022

Treatment device for neonatal birth asphyxia related Hypoxic Ischemic Encephalopathy.

BMC Pediatr 2021 11 3;21(1):487. Epub 2021 Nov 3.

School of Biomedical Engineering, Jimma Institute of Technology, Jimma University, Jimma, Ethiopia.

Background: Birth asphyxia is a leading cause of neonatal brain injury, morbidity, and mortality globally. It leads to a multi-organ dysfunction in the neonate and to a neurological dysfunction called Hypoxic Ischemic Encephalopathy (HIE). Cooling therapy is commonly used to slow or stop the damaging effects of birth asphyxia. Read More

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November 2021

Use of point of care quality improvement methodology to improve newborn care, immediately after birth, at a tertiary care teaching hospital, in a resource constraint setting.

BMJ Open Qual 2021 07;10(Suppl 1)

Pediatrics, University College of Medical Sciences, Delhi, India.

After birth, separation of mothers and newborn is a common practice in many hospitals in our country. After delivery, we take the normal newborn to the radiant warmer in the resuscitation area for routine care. This was the existing process of care at our hospital. Read More

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Immediate "Kangaroo Mother Care" and Survival of Infants with Low Birth Weight.

N Engl J Med 2021 05;384(21):2028-2038

The affiliations of the members of the writing committee are as follows: the Department of Maternal, Newborn, Child, and Adolescent Health, and Ageing, World Health Organization, Geneva (S.P.N.R., S.Y., N.M., H.V.J., H.T., R.B.); Vardhman Mahavir Medical College and Safdarjung Hospital (S.A., P.M., N.C., J.S., P.A., K.N., I.S., K.C.A., H.C.) and the All India Institute of Medical Sciences (M.J.S.), New Delhi, and Translational Health Science and Technology Institute, Faridabad (N.W.) - all in India; Muhimbili University of Health and Allied Sciences (H.N., E.A., A.M.) and Muhimbili National Hospital (M.N., R.M.) - both in Dar es Salaam, Tanzania; the University of Malawi, College of Medicine, Blantyre, Malawi (K.K., L.G., A.T.M., V.S., Q.D.); Obafemi Awolowo University, Ile-Ife, Nigeria (C.H.A., O.K., B.P.K., E.A.A.); Kwame Nkrumah University of Science and Technology (S.N., R.L.-R., D.A., G.P.-R.) and Komfo Anokye Teaching Hospital (A.B.-Y., N.W.-B., I.N.), Kumasi, and the School of Public Health, University of Ghana, Accra (A.A.M.) - all in Ghana; Karolinska University Hospital (A.L.) and Karolinska Institute (N.B., A.L., B.W.), Stockholm; the Institute for Safety Governance and Criminology, University of Cape Town, Cape Town, South Africa (B.M.); and Stavanger University Hospital, Stavanger, Norway (S.R.).

Background: "Kangaroo mother care," a type of newborn care involving skin-to-skin contact with the mother or other caregiver, reduces mortality in infants with low birth weight (<2.0 kg) when initiated after stabilization, but the majority of deaths occur before stabilization. The safety and efficacy of kangaroo mother care initiated soon after birth among infants with low birth weight are uncertain. Read More

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Prenatal diagnosis of an aberrant ductus venosus draining into the coronary sinus using two- and three-dimensional echocardiography: a case report.

BMC Pregnancy Childbirth 2021 May 20;21(1):392. Epub 2021 May 20.

Department of Microbiology and Parasitology, College of Basic Medical Sciences, China Medical University, Liaoning, Shenyang, China.

Background: Ductus venosus (DV) abnormalities may be associated with intracardiac or extracardiac deformities, chromosomal anomalies, and/or congestive heart failure. Aberrant DV connecting with the coronary sinus (CS) is rare and the prenatal diagnosis presents challenges for most examiners.

Case Presentation: A 35-year-old pregnant woman, gravida 2, para 1, was referred to our center at 27 gestational weeks for a full evaluation of fetal cardiac anomalies. Read More

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Disposable low-cost cardboard incubator for thermoregulation of stable preterm infant - a randomized controlled non-inferiority trial.

EClinicalMedicine 2021 Jan 7;31:100664. Epub 2020 Dec 7.

Department of Neonatology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India.

Background: Incubators and radiant warmers are essential equipment in neonatal care, but the typical 1,500 to 35,000 USD cost per device makes it unaffordable for many units in low and middle-income countries. We aimed to determine whether stable preterm infants could maintain thermoregulation for 48 h in a low-cost incubator (LCI).

Methods: The LCI was constructed using a servo-heater costing 200 USD and cardboard infant-chamber. Read More

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January 2021

Bacterial contamination of neonatal intensive care units: How safe are the neonates?

Antimicrob Resist Infect Control 2021 01 30;10(1):26. Epub 2021 Jan 30.

Department of Microbiology, Manipal College of Medical Sciences, Pokhara, Nepal.

Background: Intensive care units (ICU) are essential healthcare facility for life threatening conditions. Bacterial contamination of objects/instruments in ICU is an important source of nosocomial infections. This study is aimed to determine the level of bacterial contamination of instruments/objects which are commonly touched by healthcare workers and frequently come in contact with the neonates. Read More

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January 2021

Physiologic-Based Cord Clamping Maintains Core Temperature vs. Immediate Cord Clamping in Near-Term Lambs.

Front Pediatr 2020 23;8:584983. Epub 2020 Oct 23.

The Ritchie Centre, Hudson Institute of Medical Research, Clayton, VIC, Australia.

Physiologic-based cord clamping (PBCC) involves deferring umbilical cord clamping until after lung aeration. It is unclear if infant is at risk of becoming hypothermic during PBCC. To test if PBCC would maintain core temperature more effectively than immediate cord clamping (ICC). Read More

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October 2020

The newborn infant's thermal environment in the delivery room when skin-to-skin care has to be interrupted.

J Matern Fetal Neonatal Med 2020 Oct 26:1-7. Epub 2020 Oct 26.

Pediatric Intensive Care Unit, CHU Amiens-Picardie, Amiens, France.

Objective: Newborns are prone to hypothermia immediately following birth. Hypothermia is associated with increased morbidity and mortality rates. We sought to assess the thermal environment and metabolic costs associated with exposure to various situations in the delivery room when skin-to-skin care (SSC) has to be curtailed. Read More

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October 2020

Perinatal quality improvement bundle to decrease hypothermia in extremely low birthweight infants with birth weight less than 1000 g: single-center experience over 6 years.

J Investig Med 2020 10 19;68(7):1256-1260. Epub 2020 Jul 19.

Pediatrics/Division of Neonatology, LAC USC Medical Center, Los Angeles, California, USA

Normothermia (36.5°C-37. 5°C) at the time of admission to the neonatal intensive care unit (NICU) in extremely low birthweight (ELBW) infants (birth weight <1000 g) is associated with decreased morbidity and mortality, decreased length of stay and hospital costs. Read More

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October 2020

Development of a Nursing Guideline for Improving Skin Integrity in High-Risk Infants.

J Contin Educ Nurs 2020 May;51(5):238-244

Background: High-risk infants are highly susceptible to skin impairment caused by invasive procedures, radiant warmers, and phototherapy, in addition to their intrinsic vulnerability. This leads to a vicious cycle that aggravates the risk of skin infections. Concerns have been raised that neonatal nurses may lack knowledge regarding feasible guidelines to improve skin integrity of high-risk newborns. Read More

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Protocol for a randomised trial of early kangaroo mother care compared to standard care on survival of pre-stabilised preterm neonates in The Gambia (eKMC).

Trials 2020 Mar 6;21(1):247. Epub 2020 Mar 6.

Faculty of Epidemiology and Population Health, and MARCH Centre, London School of Hygiene & Tropical Medicine (LSHTM), Keppel Street, London, UK.

Background: Complications of preterm birth cause more than 1 million deaths each year, mostly within the first day after birth (47%) and before full post-natal stabilisation. Kangaroo mother care (KMC), provided as continuous skin-to-skin contact for 18 h per day to fully stabilised neonates ≤ 2000 g, reduces mortality by 36-51% at discharge or term-corrected age compared with incubator care. The mortality effect of starting continuous KMC before stabilisation is a priority evidence gap, which we aim to investigate in the eKMC trial, with a secondary aim of understanding mechanisms, particularly for infection prevention. Read More

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Safety of immediate skin-to-skin contact after vaginal birth in vigorous late preterm neonates - A pilot study.

J Neonatal Perinatal Med 2021 ;14(1):95-100

Rainbow Babies & Children's Hospital, Cleveland, OH, USA.

Background: To evaluate the safety of immediate skin-to-skin contact (SSC) in vigorous late preterm neonates, where observation under radiant warmer is standard of care, in a prospective, randomized, controlled, and equivalence pilot study.

Methods: Singletons born vaginally at 35-36 6/7 weeks gestation were randomized to initiate immediate SSC or standard of care with continuous pulse oximeter monitoring for the first hour of life.

Results: Forty-seven dyads were randomized to SSC (n = 21) or radiant warmer (n = 26). Read More

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October 2021

Thermal imaging applications in neonatal care: a scoping review.

BMC Pregnancy Childbirth 2019 Oct 24;19(1):381. Epub 2019 Oct 24.

Research in Childbirth and Health Unit, School of Community Health and Midwifery, Faculty of Health and Wellbeing, University of Central Lancashire, Preston, UK.

Background: In neonatal care, assessment of the temperature of the neonate is essential to confirm on-going health, and as an early signal of potential pathology. However, some methods of temperature assessment involve disturbing the baby, disrupting essential sleep patterns, and interrupting maternal/infant interaction. Thermal imaging is a completely non-invasive and non-contact method of assessing emitted temperature, but it is not a standard method for neonatal thermal monitoring. Read More

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October 2019

The Impact of Transport Modality on Efficiency of Simulated Neonatal Endotracheal Intubation.

Simul Healthc 2019 Oct;14(5):307-311

From the Department of Anesthesiology and Pain Medicine (E.D.G., H.W., F.S., M.H., D.T., J.D.T., A.M.), Nationwide Children's Hospital; and Departments of Pediatrics (D.T., J.D.T.) and Anesthesiology and Pain Medicine (J.D.T.), The Ohio State University College of Medicine, Columbus, OH.

Introduction: Although the transport of neonates is generally safe, adverse events can occur where equipment is a contributing factor. The aims of the study were to explore how the types of neonatal intensive care unit bed in use could impact a simulated emergency endotracheal intubation and to identify future areas for training and education.

Methods: The efficiency of endotracheal intubation performed during simulated neonatal transport using 3 different transport modalities (closed incubator bed, open incubator bed, and open radiant warmer bed) was assessed. Read More

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October 2019

Effect of monitor positioning on visual attention and situation awareness during neonatal resuscitation: a randomised simulation study.

Arch Dis Child Fetal Neonatal Ed 2020 May 2;105(3):285-291. Epub 2019 Aug 2.

Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.

Objectives: To compare situation awareness (SA), visual attention (VA) and protocol adherence in simulated neonatal resuscitations using two different monitor positions.

Design: Randomised controlled simulation study.

Settings: Simulation lab at the Royal Alexandra Hospital, Edmonton, Canada. Read More

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Facility readiness in low and middle-income countries to address care of high risk/ small and sick newborns.

Matern Health Neonatol Perinatol 2019 18;5:10. Epub 2019 Jun 18.

14MedStar Georgetown University Hospital, Washington, DC, USA.

Background: The successful promotion of facility births in low and middle-income countries has not always resulted in improved neonatal outcome. We evaluated key signal functions pertinent to Level II neonatal care to determine facility readiness to care for high risk/ small and sick newborns.

Method: Facility readiness for care of high risk/ small and sick babies was determined through self-evaluation using a pre-designed checklist to determine key signal functions pertinent to Level II neonatal care in selected referral hospitals in Uganda (10), Indonesia (4) and India (2) with focus on the Sub-Saharan country with greater challenges. Read More

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Euthermia in Stable Preterm Babies: 'Cocooning' for Warmth! - A Randomized Controlled Trial.

J Trop Pediatr 2020 02;66(1):15-23

Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum 695029, Kerala.

Very preterm babies, after their initial need for rigorous supports, remain in intensive care units for maintaining euthermia. We compared proportion of 'hypothermia OR hyperthermia episodes(HHE)'; physiological instability events; and weight gain in stable preterm babies between 29 and 32 weeks nursed in Cocoon warmer (CW) vs. servo-controlled Radiant warmer(RW) in the intervals between kangaroo mother care. Read More

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February 2020

The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies.

Int Breastfeed J 2019 19;14:12. Epub 2019 Feb 19.

Department of Nursing, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.

Background: Kangaroo mother care is a comprehensive intervention given for all newborns especially for premature and low birthweight infants. It is the most feasible and preferred intervention for decreasing neonatal morbidity and mortality. Even though time to initiating breastfeeding has been examined by randomized controlled trials, varying findings have been reported. Read More

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Reinforcing kangaroo mother care uptake in resource limited settings.

Matern Health Neonatol Perinatol 2018 4;4:26. Epub 2018 Dec 4.

Pacific Medical College and Hospital, Udaipur, 313 001 India.

Background: The national and global coverage of kangaroo mother care (KMC) remains low. Hence, adjuncts to KMC may be necessary, especially on day1 of life when neonatal mortality is high. It is important to provide warmth and reduce mortality in preterm low birth weight (LBW) infants in the community/hospital setting. Read More

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December 2018

Early detection of deep wound infection in bladder exstrophy and hypospadias using a novel intervention.

J Wound Care 2018 10;27(10):686-691

Professor of Pediatric Urology; Pediatric Urology and Regenerative Medicine Research Center, Section of Tissue Engineering and Stem Cells Therapy, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran (IRI).

Objective: To introduce a practical technique for the early detection and prompt management of a probable bladder dehiscence (BD) and glanular dehiscence (GD) in patients with bladder exstrophy epispadias complex (BEEC) and hypospadias.

Method: In this prospective study, paediatric patients with BEEC (group 1) and with proximal hypospadias (group 2) underwent body temperature measurement using a non-contact infrared radiant digital temperature measurement device in four body regions, including the surgical wound, forehead, right hand, and right foot at eight hour intervals, postoperatively. This technique was performed to detect wound temperature rises before whole body temperature rise or visible local wound skin redness, cellulitis or any sign of inflammation or wound dehiscence (WD). Read More

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October 2018

Evaluation of maternal and newborn health services in Jordan.

J Multidiscip Healthc 2018 5;11:439-456. Epub 2018 Sep 5.

Epidemiology Department of Community Medicine, Public Health and Family, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Objectives: This study aimed to assess the maternal and newborn services in Jordanian hospitals to provide policymakers, health professionals, and researchers with a clear picture about the current status of maternal and newborn health services.

Methods: A total of 32 main hospitals that provide maternity services in Jordan were assessed. The study involved direct observations of these hospitals and interviews with basic health and hospital staff, with the purpose of assessing and evaluating the availability of various services for mothers and newborns, availability of resources, equipment and supplies, documentation and staff training, and provision of the health care services. Read More

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September 2018

Warming the premature infant in the delivery room: Quantification of the risk of hyperthermia.

Med Eng Phys 2018 09 29;59:70-74. Epub 2018 Jun 29.

Réanimation Néonatale, Pôle Femme - Couple - Enfant, CHU, avenue René Laennec, F-80480, Amiens, France; PériTox, UMI INERIS-01, UFR de Médecine UPJV, Amiens, France. Electronic address:

Aim: The efficacy and safety of three polyethylene bags commonly used to prevent hypothermia in premature infants was assessed.

Methods: To simulate transfer from the delivery room to a secondary care unit, a thermally stable, bonneted mannequin (skin temperature: 34.4 °C) was placed in a climate chamber under different conditions: with a radiant warmer, with various polyethylene bags (open on one side, closed by a draw-string at the neck, or a "life support pouch" with several access points) or without a bag. Read More

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September 2018

Barriers to adequate first aid for paediatric burns at the scene of the injury.

Health Promot J Austr 2018 08;29(2):160-166

Centre for Children's Burns & Trauma Research, Centre for Children's Health Research, The University of Queensland, Brisbane, Qld, Australia.

Issue Addressed: The recommended first aid for burns, consisting of 20 minutes of cool running water (CRW) delivered within three hours of the injury, offers a simple yet effective means of improving health outcomes. The aim of this study was to determine patient and injury characteristics associated with inadequate CRW therapy among children with thermal burns, with the goal of identifying populations at greatest risk of undertreatment.

Methods: A cross-sectional study was performed on children treated at a large tertiary paediatric burns centre. Read More

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A Handy Preterm Infant Incubator for Providing Intensive Care: Simulation, 3D Printed Prototype, and Evaluation.

J Healthc Eng 2018 10;2018:8937985. Epub 2018 May 10.

The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Preterm infants encounter an abrupt delivery before their complete maturity during the third trimester of pregnancy. Polls anticipate an increase in the rates of preterm infants for 2025, especially in middle- and low-income countries. Despite the abundance of intensive care methods for preterm infants, such as, but not limited to, commercial, transport, embrace warmer, radiant warmer, and Kangaroo Mother Care methods, they are either expensive, lack the most essential requirements or specifications, or lack the maternal-preterm bond. Read More

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November 2019

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 Apr;65(2):122-129

Central Research Services, Charutar Arogya Mandal, Karamsad, Gujarat, India.

Objective: The objective of this study was to determine the efficacy of polyethylene skin wrapping on thermoregulation in preterm neonates.

Methods: Total 151 neonates were enrolled in this randomized control trial. In the control group, neonates were transferred to the radiant warmer and covered with warm cloth after initial care. Read More

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Maintaining normothermia: Why and how?

Semin Fetal Neonatal Med 2018 10 21;23(5):333-339. Epub 2018 Mar 21.

Division of Neonatal Medicine, Escola Paulista de Medicina da Universidade Federal de São Paulo, São Paulo, Brazil.

A high incidence of postnatal hypothermia has been reported in high-as well low-resource countries and it remains an independent predictor of neonatal morbidity and mortality, especially in very preterm infants in all settings. The temperature of newly born infants should be maintained between 36.5 and 37. Read More

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October 2018

Quality-Improvement Effort to Reduce Hypothermia Among High-Risk Infants on a Mother-Infant Unit.

Pediatrics 2018 03 14;141(3). Epub 2018 Feb 14.

Department of Pediatrics, Hasbro Children's Hospital, Providence, Rhode Island;

Background And Objective: Neonatal hypothermia is common in low birth weight (LBW) (<2500 g) and late-preterm infants (LPIs) (34 0/7-36 6/7 weeks' gestation). It can be a contributory factor for newborn admission to a NICU, resulting in maternal-infant separation and increased resource use. Our objective was to study the efficacy of a quality-improvement bundle of hypothermia preventive measures for LPIs and/or LBW infants in a mother-infant unit. Read More

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[Care of the newborn with perinatal asphyxia candidate for therapeutic hypothermia during the first six hours of life in Spain].

An Pediatr (Engl Ed) 2018 Oct 11;89(4):211-221. Epub 2017 Dec 11.

Fundación NeNe, España; Unidad de Neonatología, Hospital Universitario Puerta del Mar, Cádiz, España.

Introduction: The process of care and assistance from birth to the starting of therapeutic hypothermia (TH) is crucial in order to improve its effectiveness and prevent the worsening of hypoxic-ischaemic injury.

Methods: A national cross-sectional study carried out in 2015 by use of a questionnaire sent to all level iii units on the care of the newborn≥35 weeks gestation within the first hours of life after a perinatal asphyxia event. According to clinical practice guidelines, the quality of care was compared between the hospitals that carried out or did not carry out TH, and according to the level of care. Read More

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October 2018

Differences in Temperature Changes in Premature Infants During Invasive Procedures in Incubators and Radiant Warmers.

Compr Child Adolesc Nurs 2017;40(sup1):102-106

a Faculty of Nursing , Universitas Indonesia, Jalan Bahder Djohan Campus , Depok , Indonesia.

Premature infants tend to lose heat quickly. This loss can be aggravated when they have received an invasive procedure involving a venous puncture. This research uses crossover design by conducting 2 intervention tests to compare 2 different treatments on the same sample. Read More

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September 2018