@amandasnicued: I asked NICU nurses where the servo probe goes, axilla or upper abdomen, and you split almost exactly 50/50. So I went to the research, and it turns out the literature can't agree either... Quick version: 🌡️ In servo control, the bed believes whatever the probe tells it 🌡️ Brown fat is the classic argument against the axilla 🌡️ Guidelines vary, and studies comparing abdomen and axilla don't crown a clear winner 🌡️ The RUQ tracks closely with axillary temps I use the abdomen. I also can't tell you the axilla is wrong. What matters more: a probe that's secure, uncovered by the baby, and backed up by your own temp and your own assessment. Do me a favor and pull your unit's policy and tell me in the comments what it says and what it's based on. Manufacturer? A study? "We've always done it this way"? I'm sharing what you find in a follow-up. Also, any tips for getting the probe to stay in place? Hydrocolloids? Silicone tapes? What's everyone using? References: Joseph RA, Derstine S, Killian M. Ideal site for skin temperature probe placement on infants in the NICU: a review of literature. Adv Neonatal Care. 2017;17(2):114-122. Sinclair JC. Servo-control for maintaining abdominal skin temperature at 36C in low birth weight infants. Cochrane Database Syst Rev. 2002;(1):CD001074. Pouy, S., & Chehrzad, M. M. (2019). Identification the best skin temperature probe attachment place in premature neonates nursed under radiant warmers in NICU: A diagnostic clinical trial study. Journal of Neonatal Nursing, 25(2), 69–73.

Amanda's NICU Education
Amanda's NICU Education
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Sunday 04 October 2026 16:54:28 GMT
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elisagonzalezmorin
Elisa Gonzalez Morin :
STABLE teaches over the the liver (RUQ)
2026-10-04 20:16:21
83
crazycatladysteph
Stephanie :
I’ve never experienced the probe in the axilla reading warmer than the baby but I have many many times had the abdomen read colder than the baby
2026-10-04 21:18:44
179
itsroyaltee_
Te'Ericka Jackson :
I always do the axilla because that’s where we get temperatures with the thermometers. So my thinking is why not track the temp in the same place
2026-10-04 19:58:36
54
nicueducator.lisa
NICU Nurse Educator :
The position of the baby is so important in this conversation too! I do think a lot of the old information was before early holding and prone positing. Remember how they all used to just lay on their backs! Yes, I’m that old.
2026-10-04 17:06:16
31
daniher295
Daniela Hernández :
Idk.. every time I put it on the RUQ the bed reads lower than what the baby is and when I check the temp is super high that I have to cool down.. and the axilla reads pretty close and the bed just gives enough heat and my baby is never cold..
2026-10-04 20:02:18
34
kcneo3
KCNeo :
My concern about axillary placement, especially on small preemies, is skin breakdown. I’ve seen moisture trapped in that area, resulting in loss of skin integrity. In units where they have aggressive humidity use, it becomes a problem.
2026-10-04 23:21:25
8
katiekatrn
Katie :
My new unit is dishing out write ups for using the axilla. Pisses me all the way off
2026-10-04 23:54:23
3
xxkelsey14xx
Kelsey 💖 :
Depends in an isolette vs a radiant warmer too!
2026-10-06 17:52:47
2
aoxo1992
aoxo1992 :
But every single time I have the probe on the abdomen it’s reading a completely different number than when it’s under the axilla. I always have problems with the bed reading when it’s on the abdomen. I do recognize that this is the correct way to place it but it just causes more problems for me. And I’ve worked at different units as a travel nurses with different isolettes.
2026-10-04 23:59:03
4
mariana_igoe
Mariana_igoe :
We were taught over liver (internal core temp organ)
2026-10-05 03:57:29
3
nia180life
Nia :
Upper abdomen is what the manufacturer says for most warmer and isolette models.
2026-10-04 19:49:25
11
chasinsmom
Amanda Baker929 :
Not a nurse but I saw your first video so I went searching my pictures lol this was close to 3 weeks into our nicu stay born at 29 weeks 🥰🥰
2026-10-05 02:55:20
1
alexis_menz
A_novi :
I use critical thinking and adjust the probe based on my objective temp readings. I’ll do whatever I need to do to get the baby’s temperature within safe range.
2026-10-05 00:48:35
6
vizy85
vizy85 :
So our unit says either but i usually do what’s best for each individual baby, which is usually the larger babies get it on the abdomen and the smaller ones get it on the axillary.
2026-10-17 22:52:32
2
ash4619
Ash :
We go off of gestation. Under 32 weeks we use axilla and over we use abdomen. However, I tend to lean towards the axilla because it doesn’t seem to stick well enough to the abdomen. The skin temp almost always drops and then my baby gets overheated. It’s definitely a constant battle.
2026-10-04 21:58:32
6
alysthenurse
Alyssa | NICU nurse :
Can we just get a round of applause for what an incredible job you did researching this and presenting the data in such a concise why 👏🏼 that’s why you’re the best!
2026-10-10 06:39:28
2
memyselfmai
Mai Nguyen :
i was told that the temp probe needs to have the reflective cover exposed or else it’ll read inaccurately (like when the baby’s hand covers the cover it’ll read inaccurately). generally on the abdomen but any part that is exposed (depending on the baby’s position)
2026-10-04 21:33:32
3
korgan101
korgan101 :
I’ll use both. I tend toward the axilla if I’m using a dandleroo bc on the abdomen my babies tend to roast!
2026-10-04 21:36:08
6
sarahnickel9
Sarah :
If it’s under a radiant warmer and I have the reflective probe it’s over the liver. If it is skin mode I put it in the axilla with baby tape
2026-10-04 20:47:48
3
elizabeththomas_1990
elizabeththomas_1990 :
So I try to go with what the manufacturer of the isolette instructs. They designed it
2026-10-05 02:00:26
1
ceisen2
Carmen * :
It never works. Still check axillary temp
2026-10-04 21:18:47
1
kluellen
kluellen :
I just had to write a thermoregulation guideline and it was tough. The unit I work in uses the axilla so I would have needed evidence to make a change like that and it just wasn't there. I agree what's important is that it's reading the baby correctly. It can't be loose and the baby can't lay on it.
2026-10-04 17:48:47
3
itsamekinley
kinley :
I typically always start out using upper abdomen, but typically it always comes off or is pulled off by the baby themselves, so then I do axillary and just ensure it’s accurate by taking a temperature
2026-10-04 18:56:32
2
lavenderali8
lavenderali8 :
Doesn’t stable teach abdomen? Obviously, I move it if the baby is laying on that side so it’s not falsely reading so it’s not always on the abdomen either way.
2026-10-04 19:47:15
1
jeeplovinmom
jeeplovinmom :
Never over bone or the stomach bubble. Liver or axilla, where ever the correlation between bed reading and actual baby temp is closest. Don't be rigid on placement, make it patient specific.
2026-10-04 20:11:26
1
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