{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:04:23Z","timestamp":1791234263230,"version":"4.1.0"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Thermal management of the newborn at birth remains an actual challenge. This systematic review aimed to summarize current evidence on the use of thermal servo-controlled systems during stabilization of preterm and VLBW infants immediately at birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comprehensive search was conducted including MEDLINE\/Pubmed, EMBASE, SCOPUS, clinicaltrials.gov, and the Cochrane Database through December 2021. PRISMA guidelines were followed. Risk of bias was appraised using Cochrane RoB2 and Risk Of Bias In Non-Randomized Studies of Interventions (ROBIN-I) tools, and certainty of evidence using GRADE framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One randomized controlled trial and one observational study were included. Some aspects precluded the feasibility of a meaningful meta-analysis; hence, a qualitative review was conducted. Risk of bias was low in the trial and serious in the observational study. In the trial, the servo-controlled system did not affect normothermia (36.5\u201337.5\u00b0C) but was associated with increased mild hypothermia (from 22.2 to 32.9%). In the observational study, normothermia (36\u201338\u00b0C) increased after the introduction of the servo-controlled system and the extension to larger VLBW infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, this review found very limited information on the use of thermal servo-controlled systems during stabilization of preterm and VLBW infants immediately at birth. Further research is needed to investigate the opportunity of including such approach in the neonatal thermal management in delivery room.<\/jats:p><\/jats:sec><jats:sec><jats:title>Registration<\/jats:title><jats:p>PROSPERO (CRD42022309323).<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2022.893431","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T16:26:52Z","timestamp":1659371212000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Thermal servo-controlled systems in the management of VLBW infants at birth: A systematic review"],"prefix":"10.3389","volume":"10","author":[{"given":"Orietta","family":"Ercolino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Baccin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiorenza","family":"Alfier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo Ernesto","family":"Villani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Trevisanuto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Cavallin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,8,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"S185","DOI":"10.1542\/peds.2020-038505C","article-title":"Neonatal life support: 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations","volume":"142","author":"Wyckoff","year":"2020","journal-title":"Circulation"},{"key":"B2","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1016\/j.resuscitation.2013.10.016","article-title":"Neonatal outcomes following extensive cardiopulmonary resuscitation in the delivery room for infants born at less than 33 weeks gestational age","volume":"85","author":"Soraisham","year":"2014","journal-title":"Resuscitation."},{"key":"B3","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1016\/j.resuscitation.2021.02.014","article-title":"European resuscitation council guidelines 2021: newborn resuscitation and support of transition of infants at birth","volume":"161","author":"Madar","year":"2021","journal-title":"Resuscitation."},{"key":"B4","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.jpeds.2016.04.016","article-title":"Admission hypothermia in very preterm infants and neonatal mortality and morbidity","volume":"175","author":"Wilson","year":"2016","journal-title":"J Pediatr."},{"key":"B5","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/j.jpeds.2013.09.049","article-title":"Hypothermia and early neonatal mortality in preterm infants","volume":"164","author":"de Almeida","year":"2014","journal-title":"J Pediatr."},{"key":"B6","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.jpeds.2017.09.021","article-title":"Admission temperature and associated mortality and morbidity among moderately and extremely preterm infants","volume":"192","author":"Laptook","year":"2018","journal-title":"J Pediatr."},{"key":"B7","doi-asserted-by":"publisher","first-page":"S49","DOI":"10.1038\/jp.2010.177","article-title":"Hypothermia in very low birth weight infants: distribution, risk factors and outcomes","volume":"31","author":"Miller","year":"2011","journal-title":"J Perinatol."},{"key":"B8","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1111\/j.1651-2227.1980.tb07097.x","article-title":"Transepidermal water loss in newborn infants. 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