Poster Presentation - Delayed Bathing

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Newborn Baths: Delayed Bathing and its Health

Benefits on Extrauterine Life


Chelsea McNeal, Erin Bodine, Madison Stryffeler, Juliana Rotz, & Mary Duda
Introduction Research Question Conclusion

o We acquired eight sources via o Sufficient amounts of evidence that


In newborns, how does waiting 24
OhioLINK databases, specifically proved that by allowing vernix and other
hours to bathe compared to bathing
CINAHL Plus with full text, Medline and substances to remain on the infant’s
Electronic Journal Center. within 24 hours influence newborn’s skin improved the moisture of their skin,
o The effects delayed newborn bathing adaptation to extrauterine life during thermoregulation, glycemic control and
has on skin, thermoregulation, glycemic the first 72 hours of life? breastfeeding rates.
control and breastfeeding will be o When left on the skin, vernix improves
examined. skin moisture levels, decreases skin pH,
decreases skin erythema and aides in
thermoregulation.
o Delaying a newborn bath can decrease
cold stress which decreases metabolic
demand, causing hypoglycemia rates to
decline.
o Long exposure to fatty acids in amniotic
fluid increases breast feeding rates and
the newborns sucking reflex

Background/Significance Summary of Research Findings References

o The WHO (World Health o Postponing the first bath until at least 24 Brogan, J., & Rapkin, G. (2017). Implementing evidence-based neonatal skin
care with parent-performed, delayed immersion baths. Nursing for

Organization) stated delaying the hours preserves vernix, which in turn Womens Health, 21(6), 442–450. doi: 10.1016/j.nwh.2017.10.009
Chamberlain, J., Mccarty, S., Sorce, J., Leesman, B., Schmidt, S., Meyrick,
improves newborn skin integrity and E., Parlier, S., Kennedy, L., Coultas, L. (2019). Impact on delayed
first newborn bath 24 hours as newborn bathing on exclusive breastfeeding rates, glucose and
moisture. temperature stability, and weight loss. Journal of Neonatal Nursing,
best practice. o The rates of hypothermia after a 25(2), 74–77. doi: 10.1016/j.jnn.2018.11.001
Dicioccio, H. C., Ady, C., Bena, J. F., & Albert, N. M. (2019). Initiative to
o The timing of the newborn bath delayed bath decrease but if postponed improve exclusive breastfeeding by delaying the newborn bath. Journal
of Obstetric, Gynecologic & Neonatal Nursing, 48(2), 189–196. doi:
has significant impact on the for too long hypothermia can occur 10.1016/j.jogn.2018.12.008
Gözen, D., Çaka, S. Y., Beşirik, S. A., & Perk, Y. (2018). First bathing time of
infant, so the optimal time of the before the bath.  newborn infants after birth: A comparative analysis. Journal for
Specialists in Pediatric Nursing, 24(2). doi: 10.1111/jspn.12239
bath should be determined. o Hypoglycemia rates have been found to Long, K., Rondinelli, J., Yim, A., Cariou, C., & Valdez, R. (2020). Delaying the
first newborn bath and exclusive breastfeeding. MCN, The American
o Nurses are the ones usually be decreased if the newborn bath is Journal of Maternal/Child Nursing, 45(2), 110–115. doi:

performing the newborn bath, so delayed to 24 hours post-delivery.  10.1097/nmc.0000000000000606


Visscher, M., & Narendran, V. (2014). Vernix caseosa: Formation and
o By delaying the newborn bath to at least functions. Newborn and Infant Nursing Reviews, 14(4), 142–146. doi:
they should understand the 10.1053/j.nainr.2014.10.005
12 hours after birth, research shows an Warren, S. (2018). In healthy full and later pre-term babies, does delaying
significance of the optimal time to the first bath until at least 24 hours of life effect in-hospital breastfeeding
increase of exclusive breastfeeding rates, thermoregulation and glycemic control? [Unpublished master’s
give the bath. rates.
thesis]. Memorial University of Newfoundland.
Warren, S., Midodzi, W. K., Newhook, L.-A. A., Murphy, P., & Twells, L.
(2020). Effects of delayed newborn bathing on breastfeeding,
hypothermia, and hypoglycemia. Journal of Obstetric, Gynecologic &
Neonatal Nursing, 49(2), 181–189. doi: 10.1016/j.jogn.2019.12.004

Bitonte College of Health and Human Services Department of Nursing

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