Children and adults maintain a constant deep body temperature over a wide range of ambient thermal conditions (homeothermic). This is achieved by physiological and behavioral responses that control the rate at which heat is produced and lost. The newborn infant is also homeothermic but control of body temperature can only be achieved over a narrower range of ambient conditions. The preterm infant has even greater difficulty in body temperature control, and the most immature infants behave at times as if they are poikilothermic – their body temperature tending to drift up and down with the ambient temperature. The aim in neonatal care is to provide a thermal environment which keeps body temperature in the normal range, and which does not stress the infant to produce or lose large amounts of heat.
The importance of thermoregulation in the newborn has been recognized for a long time. In late nineteenth century Paris, Tarnier, and Budin reduced by half the mortality of infants, under 2,000...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cone TE (1983) Perspectives in neonatology. In: Sith GF, Vidyasagar D (eds) Historical review and recent advances in neonatal and perinatal medicine. Mead Johnson Nutritional Division, Evansville
Costeloe K, Hennessy E, Gibson AT, Marlow N, Wilkinson AR (2000) The EPICure study: outcomes to discharge from hospital for infants born at the threshold of viability. Pediatrics 106:659–671
Dollberg S, Xi Y, Donnelly MM (1993) A non-invasive alternative to rectal thermometry for continuous measurement of core temperature in the piglet. Pediatr Res 34:512–517
Flenady VJ, Woodgate PG (2003) Radiant warmers versus incubators for regulating body temperature in newborn infants. Cochrane Database Syst Rev 4:CD000435. doi:10.1002/14651858.CD000435
Gray PH, Flenady V (2001) Cot-nursing versus incubator care for preterm infants. Cochrane Database Syst Rev 2:CD003062. doi:10.1002/14651858.CD003062
Green-Abate C, Tafari N, Rao MR, Ju K, Clemens SD (1994) Comparison of heated water-filled mattress and space-heated room with infant incubator in providing warmth to low birthweight newborns. Int J Epidemiol 23:1226–1233
Hammarlund K, Sedin G (1979) Transepidermal water loss in newborn infants. III. Relation to gestational age. Acta Paediatr Scand 68:795–801
Hammarlund K, Nilson GE, Oberg PA, Sedin G (1980) Transepidermal water loss in newborn infants. V. Evaporation from the skin and hear exchange during the first hours of life. Acta Paediatr Scand 69:385–392
Hammarlund K, Sedin G, Stromberg B (1983) Transepidermal water loss in newborn infants. VIII. Relation to gestational age and postnatal age in appropriate and small for gestational age infants. Acta Paediatr Scand 72:721–728
Harpin VA, Rutter N (1982) Sweating in preterm babies. J Pediatr 100:614–618
Harpin VA, Rutter N (1983) Barrier properties of the newborn infant’s skin. J Pediatr 102:419–425
Hazan J, Maag U, Chessex P (1991) Association between hypothermia and mortality rate of premature infants – revisited. Am J Obstet Gynecol 164:111–112
Hey EN (1969) The relation between environmental temperature and oxygen consumption in the new-born baby. J Physiol 200:589–603
Hey EN (1975) Thermal neutrality. Br Med Bull 31:69–74
Laroia N, Phelps D, Roy J (2007) Double wall versus single wall incubator for reducing heat loss in very low birth weight infants in incubators. Cochrane Database Syst Rev 2:CD004215. doi:10.1002/14651858.CD004215.pub2
Liphook AR, Salhab W, Bhaskar B, The Neonatal research Network (2007) Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics 119:e643–e649
Lyon AJ, Stenson B (2004) Cold comfort for babies. Arch Dis Child 89:F93–F94
Lyon AJ, Pikaar ME, Badger P, McIntosh N (1997) Temperature control in infants less than 1000 g birthweight in the first 5 days of life. Arch Dis Child 76:F47–F50
McCall EM, Alderdice FA, Halliday HL, Jenkins JG, Vohra S (2008) Interventions to prevent hypothermia at birth in preterm and/or low birthweight babies. Cochrane Database Syst Rev 1:CD004210. doi:10.1002/14651858.CD004210.pub3
Messaritakis J, Agnostakis DH, Katerelos C (1990) Rectal-skin temperature difference in septicaemic newborn infants. Arch Dis Child 65:380–382
New K, Flenady V, Davies MW (2008) Transfer of preterm infants from incubators to open cot at lower versus higher body weight. Cochrane Database Syst Rev 1:CD004214. doi:10.1002/14651858.CD004214.pub3
Perlstein PH, Edwards NK, Sutherland JM (1970) Apnea in premature infants and incubator air temperature changes. N Eng J Med 282:461–466
Perlstein PH, Edwards NK, Atherton HD, Sutherland JM (1976) Computer assisted newborn intensive care. Pediatrics 57:494–501
Pomerance JJ, Brand RJ, Meredith JL (1981) Differentiating environmental from disease-related fevers in the term newborn. Pediatrics 67:485–488
Rutter N (2005) Temperature control and its disorders. In: Rennie JM (ed) Roberton’s textbook of neonatology, 4th edn. Churchill Livingstone, Edinburgh
Sarman I, Tunnell R (1989) Providing warmth for preterm babies by a heated, water filled mattress. Arch Dis Child 54:29–33
Sarman I, Can G, Tunell R (1989) Rewarming preterm infants on a heated, water filled mattress. Arch Dis Child 64:687–692
Sauer PJJ, Dane HJ, Visser HK (1984) New standards for neutral thermal environment of healthy very low birthweight infants in week one of life. Arch Dis Child 59:18–22
Silverman WA, Blanc WA (1957) Effect of humidity on survival of newly born premature infants. Pediatrics 20:477–487
Silverman WA, Fertig JW, Berger AP (1958) The influence of the thermal environment upon survival of newly born preterm infants. Pediatrics 22:876–885
Silverman WA, Agate FJ, Fertig JW (1963) A sequential trial of the non-thermal effect of atmospheric humidity on survival of human infants. Pediatrics 31:710–724
Vohra S, Frent G, Campbell V, Abbott M, Whyte R (1999) Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery: a randomized trial. J Pediatr 134:547–551
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Berlin Heidelberg
About this entry
Cite this entry
Lyon, A.J. (2012). Thermoregulation/Environment. In: Elzouki, A.Y., Harfi, H.A., Nazer, H.M., Stapleton, F.B., Oh, W., Whitley, R.J. (eds) Textbook of Clinical Pediatrics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02202-9_14
Download citation
DOI: https://doi.org/10.1007/978-3-642-02202-9_14
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-02201-2
Online ISBN: 978-3-642-02202-9
eBook Packages: MedicineReference Module Medicine