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Testing of a reusable chemical warming pad and an insulating jacket to manage hypothermia of preterm or low birthweight neonates
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Child Health and Nutrition. Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div, Dhaka, Bangladesh..ORCID iD: 0000-0001-6030-0468
Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div, Dhaka, Bangladesh..
Florida State Univ, Dept Chem & Biochem, Tallahassee, FL USA..
Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div, Dhaka, Bangladesh..
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2025 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 15, no 1, article id 12277Article in journal (Refereed) Published
Abstract [en]

Hypothermia remains a leading contributing factor to neonatal mortality. This study reports testing of a thermoregulatory device-'Thermal Jacket' that includes a reusable chemical warming pad (CWP) and an insulating jacket designed for hypothermia management. The laboratory experiments were conducted in two distinct phases between February'21 and June'22. In phase 1, a ternary composite of Sodium-Acetate-Trihydrate, Glycerol, Paraffin, and water contained in a high-density polyethylene-pouch named 'CWP' was finalised, and an insulating jacket was designed for targeted heat retention. In phase 2, the device's efficacy was evaluated using a mannequin in a controlled setting. The sample size was 81 events. Welch's t-test, ANOVA, and GEE were used to assess any significant differences between successful and failed events. Among 81 events, approximately 93% events of CWP and 98% events of insulating jacket successfully maintained temperature within 36-38 degrees C for 120 minutes. Moreover, ambient temperature, reuse of CWPs, humidity did not have any significant effect on the success rate of the CWP and insulating jacket. Thermal Jacket had achieved and sustained the temperature range of 36-38 degrees C for 2 hours. While this study used mannequin, clinical trial with preterm or low birthweight neonates is imperative to assess its effectiveness for thermal care management.

Place, publisher, year, edition, pages
Springer Nature, 2025. Vol. 15, no 1, article id 12277
Keywords [en]
Sodium Acetate Trihydrate, Paraffin, Glycerol, Hypothermia management, Thermoregulatory device, Thermal Jacket, Kangaroo Mother Care
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-555806DOI: 10.1038/s41598-025-96275-1ISI: 001464799500008PubMedID: 40210918Scopus ID: 2-s2.0-105003323640OAI: oai:DiVA.org:uu-555806DiVA, id: diva2:1956603
Available from: 2025-05-06 Created: 2025-05-06 Last updated: 2025-05-06Bibliographically approved

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Ahmed, AnisuddinMålqvist, MatsMoshfiqur Rahman, Syed
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