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Title: An investigation of thermal balance in swaddled and non-swaddled infants in an urban setting in Mongolia
Author: Tsogt, Bazarragchaa
ISNI:       0000 0001 3537 2849
Current Institution: University of the West of England, Bristol
Date of Award: 2008
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Summary 16.06.2008 Introduction: The traditional practice of tight, prolonged swaddling with many layers of cloth for infants from birth to six months of age is common in Mongolia. Winter temperatures fall to below _35°C and many families live in traditional homes with no central heating. !- Objective: To investigate thennal balance at home of infants in a Mongolian winter, and to compare the effects of swaddling with use of an infant sleeping bag of equal thennal resistance. Methods: 1274 healthy tenn newborns were randomly allocated to swaddled or nonswaddled groups (using sleeping bags of equivalent thennal resistance), within 48 hours ofbirth. Digital recordings of infants' core, peripheral, environmental and microenvironmental temperatures at 30-second intervals, were made from 40 swaddled and 40 non-swaddled infants over 24 hour periods, at ages 1 and 3 months. Mothers recorded logs of infant activity and wrapping. Results: A very wide range of indoor temperatures was recorded, particularly for infants living in Gers, where night time room temperatures below O°C, and daytime temperatures above 25° C were seen, but infants' temperatures were within the nonnal range. In apartments, room temperatures remained between 16°C and 22°C, but parents used similar wrapping. Diurnal falls in overnight infant core temperatures, with larger falls in older infants, observed for infants in sleeping bags and were not affected by the minimum environmental temperatures. Conclusion: Neither at night nor during the coldest time of the day were there indications of severe cooling in the study infants. The overnight pattern of the core temperature change was only shown in the environment of wide diurnal temperature variation. Swaddling has no thennal advantages over specifically designed sleeping bags during the coldest time of day, and may result in overheating babies during the day.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available