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vol.78 issue2Asociación entre morbilidad neonatal y desarrollo en pretérminos a la edad escolarCirugía cardíaca correctiva con circulación extracorpórea en lactantes de bajo peso e hiperflujo pulmonar author indexsubject indexarticles search
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Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249


MORAES CASTRO, Mario et al. Experiencia clínica en la utilización de bolsa de polietileno para disminuir la hipotermia en el recién nacido menor de 1.000 gramos. Arch. Pediatr. Urug. [online]. 2007, vol.78, n.2, pp.110-114. ISSN 1688-1249.

Summary Introduction: the maintenance of a temperature between 36°C and 36.9°C is an important step in the survival of the newborn in the labor room. In the Neonatology Service at Centro Hospitalario Pereira Rossell the audit of clinical histories of less than 1.000 g newborns was done in the year 2002 showing that 84% had a temperature less than 36ºC. Objective: to determine if the use of a plastic bag reduces the incidence of hypothermia in less than 1.000 g newborns assisted at the Neonatal Service of the Centro Hospitalario Pereira Rossell (CHPR). Methodology: a prospective study after the implementation of an assistance protocol which includes the use of plastic bags in labor room. The temperature was measured using a mercury thermometer at the entrance of intensive care. Sample: less than 1.000 g newborns assisted at CHPR. Intervention: less than 1.000 g newborns are placed in a plastic bag until the neck immediately after birth without being dried until they enter intensive care. Results: 77 newborns were included, 39 were placed in the plastic bag. Median birth weight was 818 g, gestational age was 26 weeks, pH in umbilical artery, Apgar and labor room stay were similar for both groups. Hypothermia happened in 14 of the 39 newborns placed in a plastic bag as of 30 of the 38 without bag (p=0,0001).  Median temperature at admittance in the children placed in plastic bags was 36.1ºC (DE 0,3) versus 35,5ºC (DE 0,8). There was no significant difference in severe intraventricular hemorrage or early neonatal death. Conclusions: the use of plastic bag in the immediate assistance of less than 1.000 g newborns in this sample increased temperature in 0,6ºC and showed a significant reduction of hypothermia at the intensive care admittance.


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