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Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study.
Thesis (MPhil)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867613955459907584 |
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| access_status_str | Open Access |
| author | Jones, Thomas Ryan |
| author2 | Kali, Gugu |
| author_browse | Jones, Thomas Ryan Kali, Gugu |
| author_facet | Kali, Gugu Jones, Thomas Ryan |
| author_sort | Jones, Thomas Ryan |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MPhil)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/128997 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA en_ZA |
| last_indexed | 2026-06-10T12:44:21.913Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/128997 Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study. Jones, Thomas Ryan Kali, Gugu Van Wyk, Lizelle Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Paediatrics and Child Health. Hypothermia Birth weight, Low Body temperature -- Regulation Neonatology Normothermia Thesis (MPhil)--Stellenbosch University, 2023. ENGLISH ABSTRACT: Background: Neonatal hypothermia is both common, and a significant contributor to morbidity and mortality in very low birth weight (VLBW) infants. The objective of this pilot study was to determine if a new “wrap and cap” protocol would be able to ensure normothermia (36.5◦C-37.5◦C) in VLBW infants upon admission. Materials and methods: This was a prospective cohort study involving the introduction of a “wrap and cap” protocol for post-delivery thermoregulatory care in VLBW infants born in a tertiary centre in the Western Cape, South Africa. The “wrap and cap” protocol involved the use of plastic bags and woollen hats. Axillary temperatures were recorded post-resuscitation, on admission to the admission ward, and at 1 hour of age. Ambient delivery and admission room temperatures were recorded for each infant. The prevalence of admission hypothermia was calculated as well as risk factors for admission hypothermia. Results: A total of 53 VLBW infants were enrolled. The “wrap and cap” protocol was unable to prevent admission hypothermia with all infants being hypothermic on admission, and 83% of infants remaining hypothermic at 1 hour of age. Important contributing factors included the use of antenatal corticosteroids (OR = 3.45; p = 0.023), low delivery room temperatures (OR = 4.0; p = 0.065), and male sex (OR = 3.75; p = 0.080). Conclusion: Admission hypothermia in the VLBW infants remains highly prevalent. The Wrap and Cap protocol was unable to increase admission normothermia due to low delivery room temperatures and faulty equipment. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-11-25T13:33:40Z 2024-01-08T18:39:25Z 2023-11-25T13:33:40Z 2024-01-08T18:39:25Z 2023-11 Thesis https://scholar.sun.ac.za/handle/10019.1/128997 en_ZA en_ZA Stellenbosch University 18 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Hypothermia Birth weight, Low Body temperature -- Regulation Neonatology Normothermia Jones, Thomas Ryan Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study. |
| title | Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study. |
| title_full | Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study. |
| title_fullStr | Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study. |
| title_full_unstemmed | Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study. |
| title_short | Wrap and cap: prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital: a pilot study. |
| title_sort | wrap and cap prevention of admission hypothermia in very low birth weight infants in a resource restricted hospital a pilot study |
| topic | Hypothermia Birth weight, Low Body temperature -- Regulation Neonatology Normothermia |
| url | https://scholar.sun.ac.za/handle/10019.1/128997 |
| work_keys_str_mv | AT jonesthomasryan wrapandcappreventionofadmissionhypothermiainverylowbirthweightinfantsinaresourcerestrictedhospitalapilotstudy |