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Temperature instability. Wang et al. (2004) foundnear-term infants were 10% more likely than full-term new-borns to have temperature instability. Pulver et al. (2010)found that 31% of the infants studied had hypothermiarequiring an isolette, causing 82% of these infants to havea prolonged hospital stay. Jain and Cheng (2006) foundthat late-preterm infants also had a higher risk of beingreadmitted to the hospital for hypothermia than terminfants (2.5% vs. 0.2%). Late-preterm infants have animmature epidermal barrier and a higher ratio of surfacearea to birth weight than term infants, making this popula-tion more likely to have cold stress (Mally et al., 2010).Late-preterm infants also have less white adipose tissue forinsulation and less accumulation of brown adipose tissue,making the infants less able to generate heat from brownadipose tissue as term infants do for thermal regulation(Engle et al., 2007).
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