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Than in the control group (P = .0008) and was comparable with that in the wrap

group (p = .33); 1 hour later, temperature was signicantl! higher in the cap group

than in the control group (P= .0003) and was comparable with that o" the wrap

group (p= .#$). %irth weight had a signicant e&ect on temperature at '*

admission and 1 hour later is reported in +igure # (aailable at www.-peds.com)

n"ant coered with pol!eth!lene caps (3/) and placed in pol!eth!lene bags (#/)

were less liel! to hae temperature 23. on admission to the '* than

control in"ants ($0/; Table ).

Two in"ants in the wrap group had a4illar! temperature on admission 536.7).

The the mean delier! to admission time was signicantl! shorter in the control

group than in wrap group (17 minutes ersus #1 6 minutes; P 2 .01), and the

mean 9pgar score at 7 minutes was signicantl! higher in group in the wrap group

(6. 1.7 ersus 8.1 1.0; P= .03). no di&erences were "ound in the group "or

mortalit! rate, presence o" ma-or brain in-ur!, 1:minute 9pgar score, blood gasanal!sis, and serum glucose concentration on '* admission (Table ).

ptimal thermal treatment o" preterm in"ants is crucial aspect o" care because

h!pothermia is a "re

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head represents #0.8/ o" the total bod! sur"ace area. 1There"ore, i" the head were

to be insulated b! proision o" a cap, heat loss should be reduced. $,11

Tube gauAe or stocinet caps are ine&ectie in preenting heat loss in neonates, $:11

n a ph!siological stud!, stothers calculated that gamgee:lined woolen hats reduced

heat loss b! #7/ in naed babies.

11

more recentl!, a stud! demonstrated thatwoolen hats reduced heat loss. 169ll these studies ealuated mostl! term in"ants,

and babies who were born at 23# weeBs gestation hae not been studied.