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Heat Loss Prevention in Very Preterm Infants in Delivery Rooms: A Multicenter, Randomized, Controlled Trial of Polyethylene Occlusive Total Body Skin Wrapping

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified August 2012 by University of Padova.
Recruitment status was:  Recruiting
Information provided by (Responsible Party):
University of Padova Identifier:
First received: July 17, 2012
Last updated: August 22, 2012
Last verified: August 2012
Hypothermia after delivery is a world-wide problem associated with morbidity and mortality. The conventional approach of drying the baby with a pre-warmed towel and radiant warmers is unsuccessful in a large proportion of very preterm infants. Polyethylene occlusive skin wrapping covering the infant's body up to the neck will reduce postnatal heat loss in very preterm babies and represents the standard of care recommended by the International Guidelines for Neonatal Resuscitation. The use of a polyethylene head cap will also reduce heat loss 9 and its efficacy is comparable to that obtained with the wrap. However, the proportions of hypothermic infants at NICU admission (temperature <34°C) in the wrapped group (62%) as well as in the infants covered with a polyethylene cap (43%) remain high. The combination of body and head protection with a polyethylene wrap needs to be evaluated further. The investigators conducted a prospective, randomized, controlled trial in very preterm infants to evaluate whether a polyethylene total body wrapping (body plus head) prevents heat loss after delivery better than polyethylene occlusive wrapping.

Condition Intervention Phase
Hypothermia Preterm Infant Device: Polyethylene wrap Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Masking: None (Open Label)
Primary Purpose: Prevention

Resource links provided by NLM:

Further study details as provided by University of Padova:

Primary Outcome Measures:
  • Axillary temperature taken on admission to the NICU (immediately after total body wrap and wrap removal) and again 1 hour later

Secondary Outcome Measures:
  • Mortality prior to hospital discharge
  • Major brain injury
  • percentages of hyperthermic infants at NICU admission

Estimated Enrollment: 80
Study Start Date: January 2011
Arms Assigned Interventions
Experimental: Total body polyethylene wrap (body plus head)
The entire body surface (body plus head) is covered by a polyethylene wrap
Device: Polyethylene wrap
Active Comparator: Polyethylene wrap (body)
A polyethylene wrap covers the patient's body up to the neck
Device: Polyethylene wrap


Ages Eligible for Study:   up to 3 Minutes   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Preterm infants <29 weeks' gestation born in the study centers

Exclusion Criteria:

  • Congenital anomalies with open lesions (e.g. gastroschisis, meningomyelocele) and babies whose delivery was not attended by the neonatal team
  Contacts and Locations
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Please refer to this study by its identifier: NCT01671241

University of Padua, Azienda Ospedaliera di Padova Recruiting
Padua, Italy, 35128
Contact: Daniele Trevisanuto, MD    39 049 8213545   
Principal Investigator: Daniele Trevisanuto, MD         
Sponsors and Collaborators
University of Padova
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: University of Padova Identifier: NCT01671241     History of Changes
Other Study ID Numbers: LossPreventionTotalBodyWrap
Study First Received: July 17, 2012
Last Updated: August 22, 2012

Additional relevant MeSH terms:
Premature Birth
Obstetric Labor, Premature
Obstetric Labor Complications
Pregnancy Complications
Body Temperature Changes
Signs and Symptoms processed this record on August 18, 2017