neohelpTM
Where?
Midwife
Gynaecologist-obstetrician
Paediatrician
Delivery room
neohelpTM, the solution to prevent newborns’ hypothermia
Prevention of hypothermia in the delivery room is a cost-effective, high-impact intervention to reduce neonatal mortality, especially in preterm neonates. 1
What does the literature say?
Cesarean
Delayed cord clamping (DCC)
[…] During cesareans, assigned staff will hold neonate inside a prewarmed and sterile polyethylene suit during DCC . 2
Inducing hypothermia during DCC may counteract the benefits gained from DCC 2
[…] use of polyethylene wraps for the infant during delayed clamping, previously documented to decrease hypothermia in premature infants during resuscitation 3
Resuscitation
Immediately change the neonate into a new dry, warm polyethylene suit. Then, proceed with NRP [Neonatal Resuscitation Program] resuscitation guidelines[…]. 2
Protocol for DCC in premature infants < 34 weeks successfully utilized polyethylene wraps […] to prevent hypothermia in both vaginal as well as cesarean deliveries 3
References
1. Abiramalatha T, Ramaswamy VV, Bandyopadhyay T, Pullattayil AK, Thanigainathan S, Trevisanuto D, Roehr CC. Delivery Room Interventions for Hypothermia in Preterm Neonates: A Systematic Review and Network Meta-analysis. JAMA Pediatr. 2021 Sep 1;175(9):e210775. doi: 10.1001/jamapediatrics.2021.0775. Epub 2021 Sep 7. PMID: 34028513; PMCID: PMC8145154.
2. Orton M, Theilen L, Clark E, Baserga M, Lauer S, Ou Z, Presson AP, Dupont T, Katheria A, Singh Y, Chan B. Thermoregulation-Focused Implementation of Delayed Cord Clamping among <34 Weeks’ Gestational Age Neonates. Am J Perinatol. 2023 Nov 21. doi: 10.1055/s-0043-1776916. Epub ahead of print. PMID: 37989208.
3. Chantry CJ, Blanton A, Taché V, Finta L, Tancredi D. Delayed cord clamping during elective cesarean deliveries: results of a pilot safety trial. Matern Health Neonatol Perinatol. 2018 Jul 4;4:16. doi: 10.1186/s40748-018-0083-3. PMID: 29997897; PMCID: PMC6031144.