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Sweating in preterm babies

V A Harpin, N Rutter

    The Journal of Pediatrics
    |April 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Newborn infants, especially preterm babies, develop thermal sweating capabilities over time. While immature infants can sweat under heat stress, their thermoregulation efficiency remains poor.

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    Area of Science:

    • Neonatal Physiology
    • Thermoregulation
    • Infant Development

    Background:

    • Assessing the development of thermal sweating is crucial for understanding neonatal thermoregulation.
    • Infant thermoregulation is critical for survival and development, particularly in preterm infants.

    Purpose of the Study:

    • To investigate the development of thermal sweating in term and preterm infants.
    • To determine the influence of gestational and postnatal age on sweating response.

    Main Methods:

    • 117 studies involving 85 infants (term and preterm) were analyzed.
    • Infants were exposed to increasing incubator temperatures until sweating or a rectal temperature of 37.9°C was reached.
    • Sweating onset, location, intensity, and extent were recorded.

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    Main Results:

    • Infants ≥36 weeks gestation could sweat from day one; <36 weeks could not initially.
    • Postnatal age accelerated sweating development; all infants could sweat by 13 days.
    • Sweating was most prominent on the forehead, with intensity and extent dependent on gestational and postnatal age.
    • Immature infants required higher temperatures for sweating, which decreased with postnatal age.

    Conclusions:

    • The ability to sweat develops rapidly in infants, even those born preterm.
    • Sweating efficiency as a thermoregulatory mechanism is limited in immature infants.
    • Gestational and postnatal age significantly impact the development and characteristics of infant sweating.