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Published on: June 21, 2024
Embrace versus Cloth Wrap in preventing neonatal hypothermia during transport: a randomized trial
Vallaree Anant Morgaonkar1, Dipen Vasudev Patel2, Ajay Gajanan Phatak3
1Department of Pediatrics, Deenanath Mangeshkar Hospital, Pune, India.
Background:
We assessed the efficacy of Embrace Nest Infant Warmer versus Cloth Wrap in preventing hypothermia during short-term transport from the emergency department (ED) to the neonatal intensive care unit (NICU).
Methods:
Neonates weighing ≥1500 g coming to the ED were randomized for transport to the NICU. Axillary temperature was measured.
Results:
A total of 120 newborns (60 per group) were enrolled. From ED exit to NICU entry, the mean (SD) temperature increased in the Embrace group by 0.37 °C (0.54), whereas it reduced by 0.38 °C (0.80) in the Cloth group (p < 0.001). Hypothermia cases reduced in the Embrace group from 39 (65%) to 21 (35%), while it increased from 21 (35%) to 39 (65%) in the Cloth group (p = 0.001) from ED exit to NICU entry. The thermoregulation for 24 h after admission to the NICU was superior in the Embrace group.
Conclusions:
Embrace showed significantly better thermoregulation in neonates. Further studies should be done to measure its effectiveness in different environments and distances.
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