We measured temperature on admission to the neonatal unit in a cohort of 54 very preterm infants. We measured rectal temperature with a digital thermometer (Microlife MT-1931) as the gold standard (MT-R). We also measured axillary temperature with the MT (MT-A), with the Welch Allyn SureTemp Plus 692 in ‘continuous’ (WAC) mode and in the default ‘predictive’ (WAP) mode. While MT-A and WAC frequently differed from MT-R by ≥0.3°C, they were both reasonably sensitive and specific for hypothermia (MT-R