Research Article Usage of EMBRACE TM in Gujarat, India: Survey of Paediatricians Somashekhar Nimbalkar, 1,2 Harshil Patel, 1 Ashish Dongara, 1 Dipen V. Patel, 1 and Satvik Bansal 1 1 Department of Paediatrics, Pramukhswami Medical College, Anand, Karamsad, Gujarat 388325, India 2 Central Research Services, Charutar Arogya Mandal, Anand, Karamsad, Gujarat 388325, India Correspondence should be addressed to Somashekhar Nimbalkar; somu somu@yahoo.com Received 26 June 2014; Revised 26 September 2014; Accepted 10 October 2014; Published 30 October 2014 Academic Editor: Masaru Shimada Copyright © 2014 Somashekhar Nimbalkar et al. his is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aim. EMBRACE TM is an innovative, low cost infant warmer for use in neonates. It contains phase change material, which stays at constant temperature for 6 hours. We surveyed paediatricians using EMBRACE TM regarding beneits, risks, and setup in which it was used in Gujarat. Methods. Questionnaire was administered telephonically to 52 out of 53 paediatricians. Results. EMBRACE TM was used for an average of 8.27 (range of 3–18, SD = 3.84) months by paediatricians. All used it for thermoregulation during transfers, for average (SD) duration of 42 (0.64)m per transfer, 62.7% used it at mother’s side for average (SD) 11.06 (7.89)h per day, and 3.9% prescribed it at home. It was used in low birth weight neonates only by 56.9% while 43.1% used it for all neonates. While hyperthermia was not reported, 5.9% felt that EMBRACE TM did not prevent hypothermia. About 54.9% felt that they could not monitor the newborn during EMBRACE TM use. Of paediatricians who practiced kangaroo mother care (KMC), 7.7% have limited/stopped/decreased the practice of KMC and substituted it with EMBRACE TM . Conclusions. EMBRACE TM was acceptable to most but concerns related to monitoring neonates and disinfection remained. Most paediatricians felt that it did not hamper KMC practice. 1. Introduction Lack of thermal protection is one of the major challenges faced by developing nations for newborn survival [1]. In India, the prevalence of hypothermia varies widely but recent estimates in normal newborns in community settings are around 31% and about 32% in hospital settings, but these included mostly normal weight newborns [2, 3]. he preva- lence can be estimated to be even higher for low birth weight newborns. A greater proportion of child deaths in the western and southern parts of India are attributable to low birth weight and premature babies [4]. Almost 2.8 million neonatal deaths occurred in the year 2013 globally, of which 73% deaths occurred during the irst seven days of life [5]. Neonatal mortality contributes to more than half of the under-ive mortality in countries such as India [5]. he rates of decline in the last decade have been the slowest for neonatal mortality [6]. Every 1 ∘ C below 36 ∘ C on admission increased the odds of late onset sepsis by 11% and of death by 28% [7]. Hypothermia in newborns is rarely a direct cause of death but rather exists as a comorbid condition along with birth asphyxia, neonatal infections, and preterm birth and leads to a substantial amount of mortality. he hypothalamus along with various endocrine organs is responsible for the process of thermoregulation in newborns. In LBW and preterm babies, these mechanisms are overwhelmed resulting in metabolic disturbances which ultimately result in neonatal death, either directly by hypothermia or indirectly [1]. In preterm infants there can be a rapid drop in temperature by almost 0.5 ∘ C to 1 ∘ C per minute. Cold ambient temperature, intrahospital transfers, low temperature of hospital beds and poor warm chain practices during resuscitation, and late onset of breastfeeding, and so forth, are some additional factors which hasten the onset of hypothermia [8]. In a recent Hindawi Publishing Corporation Advances in Preventive Medicine Volume 2014, Article ID 415301, 5 pages http://dx.doi.org/10.1155/2014/415301