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Neonatal Thermoregulation: A Golden Hour Protocol Update.

Publication ,  Journal Article
Dixon, KL; Carter, B; Harriman, T; Doles, B; Sitton, B; Thompson, J
Published in: Advances in neonatal care : official journal of the National Association of Neonatal Nurses
August 2021

Premature infants are poor regulators of body temperature and are subjected to environmental factors that can lead to rapid heat loss, leaving them vulnerable to an increased risk of morbidity and mortality from hypothermia. Thermoregulation protocols have proven to increase survival in preterm infants.To evaluate a Plan-Do-Study-Act (PDSA) cycle on a previously implemented Golden Hour protocol at a military medical care facility for infants born at less than 32 weeks of gestation and weighing less than1500 g. Specific aims included the use of increased delivery/operating room temperatures and proper use of thermoregulatory devices (polyethylene bags and thermal mattress).Outcomes were analyzed and compared using a pre/postdesign. The data was collected using the neonatal intensive care unit admission worksheet.Although statistical analysis was not significant, clinical significance was illustrated by a decrease in hypothermia rates on admission and at 1 hour of life. There was a 100% compliance rate with increasing delivery room/operating room temperatures and thermal mattress use. Polyethylene bag use compliance was 50%.Golden Hour protocols have proven to be an effective tool. Thermoregulation is a significant component of these protocols, and it is imperative that every step is taken to manage the environmental temperature during the birth and admission process.There is a need for continued research on the impacts of thermoregulatory devices and protocols, with resulting practice and device recommendations.

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Published In

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

DOI

EISSN

1536-0911

ISSN

1536-0903

Publication Date

August 2021

Volume

21

Issue

4

Start / End Page

280 / 288

Related Subject Headings

  • Pediatrics
  • Intensive Care Units, Neonatal
  • Infant, Premature, Diseases
  • Infant, Premature
  • Infant, Newborn
  • Hypothermia
  • Humans
  • Body Temperature Regulation
  • 4204 Midwifery
  • 3213 Paediatrics
 

Citation

APA
Chicago
ICMJE
MLA
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Dixon, K. L., Carter, B., Harriman, T., Doles, B., Sitton, B., & Thompson, J. (2021). Neonatal Thermoregulation: A Golden Hour Protocol Update. Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, 21(4), 280–288. https://doi.org/10.1097/anc.0000000000000799
Dixon, Kristi Lynn, Brigit Carter, Tiffany Harriman, Bradley Doles, Barbara Sitton, and Julie Thompson. “Neonatal Thermoregulation: A Golden Hour Protocol Update.Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses 21, no. 4 (August 2021): 280–88. https://doi.org/10.1097/anc.0000000000000799.
Dixon KL, Carter B, Harriman T, Doles B, Sitton B, Thompson J. Neonatal Thermoregulation: A Golden Hour Protocol Update. Advances in neonatal care : official journal of the National Association of Neonatal Nurses. 2021 Aug;21(4):280–8.
Dixon, Kristi Lynn, et al. “Neonatal Thermoregulation: A Golden Hour Protocol Update.Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, vol. 21, no. 4, Aug. 2021, pp. 280–88. Epmc, doi:10.1097/anc.0000000000000799.
Dixon KL, Carter B, Harriman T, Doles B, Sitton B, Thompson J. Neonatal Thermoregulation: A Golden Hour Protocol Update. Advances in neonatal care : official journal of the National Association of Neonatal Nurses. 2021 Aug;21(4):280–288.

Published In

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

DOI

EISSN

1536-0911

ISSN

1536-0903

Publication Date

August 2021

Volume

21

Issue

4

Start / End Page

280 / 288

Related Subject Headings

  • Pediatrics
  • Intensive Care Units, Neonatal
  • Infant, Premature, Diseases
  • Infant, Premature
  • Infant, Newborn
  • Hypothermia
  • Humans
  • Body Temperature Regulation
  • 4204 Midwifery
  • 3213 Paediatrics