Department of Paediatrics, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
Acta Paediatr. 2018 Aug;107(8):1335-1338. doi: 10.1111/apa.14211. Epub 2018 Jan 19.
Neonatal hypothermia is a preventable cause of neonatal mortality and morbidity, and wrapping neonates in newspaper sandwiched between cotton sheets is a simple intervention. This 2017 Indian pilot study tested the heat insulating property of sandwiched sheets.
At birth, we randomised 100 neonates who were more than 32 weeks of gestation and needed neonatal intensive care unit (NICU) observation or care without a ventilator or bilevel positive airway pressure support into two groups of 50. The intervention and control groups were wrapped in two prewarmed sheets at birth that did or did not contain a layer of newspaper. Their axillary temperatures on arrival at the NICU and one hour after arrival were measured. Other environmental factors were similar.
The neonates wrapped in the sandwiched sheets showed significantly higher temperatures on arrival at the NICU than the control group (35.9°C versus 35.4°C, p < 0.01) and after one hour (36.5°C versus 36.3°C, p < 0.01). No change in behaviour or training was required for the healthcare staff to implement this initiative.
Wrapping newborn infants in two cloth sheets with a newspaper layer resulted in a higher body temperature on arrival at the NICU and after one hour.
新生儿低体温是导致新生儿死亡和发病的可预防原因，用报纸将新生儿包裹在棉片之间是一种简单的干预措施。本 2017 年印度试点研究测试了夹片的隔热性能。
在出生时，我们将 100 名胎龄超过 32 周且需要新生儿重症监护病房（NICU）观察或护理但无需呼吸机或双水平气道正压支持的新生儿随机分为两组，每组 50 名。干预组和对照组在出生时用两块预热的床单包裹，其中一块包含一层报纸，另一块不包含。测量他们到达 NICU 时和到达 1 小时后的腋窝温度。其他环境因素相似。
包裹在夹片床单中的新生儿到达 NICU 时的体温明显高于对照组（35.9°C 比 35.4°C，p < 0.01），1 小时后（36.5°C 比 36.3°C，p < 0.01）。为实施这一举措，医护人员无需改变行为或培训。
用两层布片夹一层报纸包裹新生儿可使新生儿到达 NICU 时和 1 小时后的体温升高。
