{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T21:40:30Z","timestamp":1782855630305,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To evaluate whether phototherapy blankets prevent the use of overhead phototherapy in neonates with total serum bilirubin level (TSB) approaching the treatment thresholds.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A single\u2010centre randomised trial was performed in a tertiary maternity unit. Infants \u2265\u200935\u2009weeks' gestation and >\u200924\u2009h of age with suspected hyperbilirubinaemia were eligible if TSB levels were within 35\u2009\u03bcmol\/L (2.0\u2009mg\/dL) of treatment thresholds. Infants admitted to the neonatal unit or with a positive pre\u2010randomisation direct Coombs test were excluded. Infants were randomised to the intervention (phototherapy blanket) arm or control (routine care) arm. Primary outcome was need for overhead phototherapy.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Ninety\u2010seven infants were included in the intention\u2010to\u2010treat analysis, 51 in the intervention and 46 in the control arm with no differences in baseline characteristics. Sixteen percent of the intervention group and 15% of the control group required overhead phototherapy (\n p<\/jats:italic>\n \u2009>\u20090.99) and no difference in length of stay (\n p<\/jats:italic>\n \u2009=\u20090.6) was observed. More infants in the intervention arm were discharged receiving formula feeds exclusively (\n p<\/jats:italic>\n \u2009=\u20090.04).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Use of phototherapy blankets in clinically well term infants with TSB levels below treatment thresholds does not decrease subsequent need for overhead phototherapy, has no effect on length of hospital stay, and may impact breastfeeding.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n The trial was retrospectively registered (ISRCTN29045982\u2014\n https:\/\/www.isrctn.com\/<\/jats:ext-link>\n ) on 08\/01\/2022\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/apa.70671","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T20:34:39Z","timestamp":1782851679000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Phototherapy Blanket Treatment on Need for Overhead Phototherapy in Term Infants\u2014A Randomised Controlled Trial (The Babies in Blankets Trial\u2014\n BiB<\/scp>\n Trial)"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5220-5372","authenticated-orcid":false,"given":"A.","family":"Branagan","sequence":"first","affiliation":[{"name":"The Coombe Hospital Dublin 8 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4126-7003","authenticated-orcid":false,"given":"R.","family":"Mullaly","sequence":"additional","affiliation":[{"name":"The Coombe Hospital Dublin 8 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7078-5841","authenticated-orcid":false,"given":"J.","family":"Semberova","sequence":"additional","affiliation":[{"name":"The Coombe Hospital Dublin 8 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0489-6054","authenticated-orcid":false,"given":"J.","family":"Miletin","sequence":"additional","affiliation":[{"name":"The Coombe Hospital Dublin 8 Ireland"},{"name":"Institute for the Care of Mother and Child Prague Czech Republic"},{"name":"UCD School of Medicine University College Dublin Dublin 4 Ireland"},{"name":"2nd Faculty of Medicine Charles University Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"e170","DOI":"10.1542\/peds.2006-3499","article-title":"A Comparison of Alternative Risk\u2010Assessment Strategies for Predicting Significant Neonatal Hyperbilirubinemia in Term and Near\u2010Term Infants","volume":"121","author":"Keren R.","year":"2008","journal-title":"Pediatrics"},{"issue":"9","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1056\/NEJMct0708376","article-title":"Phototherapy for Neonatal Jaundice","volume":"358","author":"Maisels M. 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