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Thermal care for very preterm infants in the delivery room in the era of delayed cord clamping
  1. Emma A Dunne1,2,
  2. Noemi Pellegrino1,3,
  3. Madeleine C Murphy1,
  4. Katherine McDonald2,
  5. Louise Dowling2,
  6. Colm Patrick Finbarr O'Donnell1,2,
  7. Lisa K McCarthy1,2
  1. 1 Department of Neonatology, National Maternity Hospital, Dublin, Ireland
  2. 2 School of Medicine, University College Dublin, Dublin, Ireland
  3. 3 Department of Medicine and Aging Science, University Gabriele d'Annunzio of Chieti and Pescara, Chieti, Italy
  1. Correspondence to Dr Lisa K McCarthy, Neonatal Intensive Care Unit, National Maternity Hospital, Dublin 2, Ireland; lisamac79{at}

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Abnormal temperature in preterm infants increases their risk of complications of prematurity and is an independent risk factor for death.1 The International Liaison Committee on Resuscitation (ILCOR) advises using a combination of interventions (radiant heat (RH), polyethylene bags (PBs), hats, thermal mattresses, heated humidified gases and room temperature of 23°C–25°C) to reduce heat loss after birth. The ILCOR algorithm specifies that warming should begin at birth and be completed by 60 seconds.2 Previously, when immediate cord clamping (CC) was recommended, we found that all infants were under RH and half were in a PB within 1 min of birth.3 In 2015, ILCOR recommended waiting 60 s before CC in uncompromised preterm infants and did not mandate thermal care before CC. …

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  • Contributors EAD, NP, CPFO'D and LKM were involved in study conception and design. MCM, NP, LKM, KM and EAD completed the data collection and video analysis. EAD, CPFO'D and LKM drafted the manuscript. All authors have approved the final version of the paper prior to submission.

  • Funding This study was funded by the Irish Research Council (2020/916).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.