Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2024 Dec;96(7):1539-1540.
doi: 10.1038/s41390-024-03434-7. Epub 2024 Aug 1.

Shining light on chest shielding

Christian V Hulzebos  1
Affiliations
Comment

Shining light on chest shielding

Christian V Hulzebos. Pediatr Res. 2024 Dec.

Abstract

Impact: Key message: Chest shielding during phototherapy does not reduce the incidence of symptomatic PDA in preterm infants and does not affect phototherapy's efficacy. This study adds to the existing literature by providing a double-blinded RCT confirming previous inconsistent findings on the impact of chest shielding on PDA incidence. However, phototherapy may exert cardiovascular changes, including vasodilatation.

Impact: Chest shielding should not be recommended to be routinely performed in preterm infants during phototherapy.

PubMed Disclaimer

Conflict of interest statement

Competing interests: The author declares no competing interests.

Comment on

References

    1. Mukherjee, D., Coffey, M. & Maisels, M. J. Frequency and duration of phototherapy in preterm infants <35 weeks gestation. J. Perinatol. 38, 1246–1251 (2018). - DOI - PubMed
    1. Hamrick, S. E. G. et al. Patent ductus arteriosus of the preterm infant. Pediatrics 146, e20201209 (2020). - DOI - PubMed
    1. Mannan, J. & Amin, S. B. Effect of chest shielding during phototherapy for hyperbilirubinemia on symptomatic patent ductus arteriosus - a double-blind randomized placebo-controlled trial. Pediatr Res. https://doi.org/10.1038/s41390-024-03310-4 (2024). Epub ahead of print.
    1. Bhola, K., Foster, J. P. & Osborn, D. A. Chest shielding for prevention of a haemodynamically significant patent ductus arteriosus in preterm infants receiving phototherapy. Cochrane Database Syst. Rev. 11, CD009816 (2015).
    1. Mannan, J. & Amin, S. B. Meta-analysis of the effect of chest shielding on preventing patent ductus arteriosus in premature infants. Am. J. Perinatol. 34, 359–363 (2017). - DOI - PubMed

LinkOut - more resources