IndexIntroductionInterview with the RNLocation of the evidenceResearchConclusionIntroductionBathing newborns in the past has always been done immediately after a mother had given birth to her baby and the reason is mainly due to the fact that hygienic purposes. However, in recent studies, it has been found that delaying bathing the newborn is very beneficial for the newborn, whether through normal delivery or cesarean section. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay In hospital births, immediate bathing of newborns was standard practice soon after birth. The baby is collected from the mother by the neonatal care team, washed thoroughly before being returned to the mother for rooming-in. This will give the pediatric team ample time to perform postpartum evaluation care and the OB team to conclude postpartum care. During the year 2013, the usual practice of bathing newborns began to change and pediatric experts studied when to bathe the newborn. According to the World Health Organization, they released a statement saying that bathing newborns should be done at least 24 hours after birth. Although some cultural beliefs do not allow it, bathing is carried out at least 6 hours after birth. It is also strongly recommended that the newborn wears appropriate clothing to control body temperature. Rooming-in with the mother 24 hours a day/7 days a week is also encouraged and mother-baby should not be separated as this is one of the most difficult times. important parts of the bond. A campaign to delay bathing a newborn by 8 hours was also announced by the Association of Women's Obstetric, Health and Neonatal Nurses to reduce instability associated with cold-related stress. In this article, the effects and benefits of delaying newborn bathing will be discussed based on studies carried out by experts from the pediatric society. Interview with RNA At the time of my clinical rotation at Kaiser Permanente Foundation Hospital Riverside Medical Center, I had the pleasure of observing the assigned nurse on how to properly bathe the newborn. While my nurse was bathing the newborn, I took the liberty of asking her questions related to delay in bathing the newborn, such as when is the right time to bathe a newborn. According to the Navy, the bath is usually done 12 hours after the baby is born. born. Some of the reasons include (but are not limited to): reducing the risk of infection, stabilizing the baby's blood sugar level, preventing newborn hypothermia, creating mother-baby bonding, and improving breastfeeding. As I observed, my nurse dried the newborn's body with a pre-moistened disposable cloth and then proceeded to clean the newborn's head. I then asked her how she learned to bathe a newborn properly, if there is a correct way to do it, and what to avoid when bathing a newborn. The nurse said she learned to bathe newborns simply by observing preceptors. It also provides crucial bathing techniques to new mothers to ensure they are well informed when they return home and need to bathe their babies without the supervision of a nurse or midwife. Also mentioned by the nurse, there are other acceptable techniques methods for bathing a newborn for the first time. Usually 12 to 24 hours after giving birth, as there are no complications. Identification of evidence ISa policy has been established at Kaiser Permanente Foundation Hospital Riverside Medical Center regarding delays in bathing newborns; Perinatal Services Section, Policy no. 2090, entitled Bathing the Newborn/Care of the Umbilical Cord. This policy was in effect in September 1989, recently revised in April 2002, and revised in June 2017. As stated in the policy, “bathing will be done only after the child's temperature is stable (at least 36.5°C) and the child will be at least 12 hours old." The stated purpose in the policy is to "groom the baby as needed, while promoting bonding and neurological development in the first hours of life." prevent hypothermia in the newborn. My nurse was able to bathe the newborn and followed hospital policy accordingly and made sure the room wasn't too cold before bathing. I watched as my nurse performed the procedure for the newborn and was able to listen closely as she taught the first-time parents. Research I have come across numerous studies conducted in relation to delayed bathing in newborns. The research I used was printed from 2013 to 2017 and still continues to be updated. I found it quite difficult to locate quality, relevant and timely evidence, as most of the articles dealing with infant bathing were published in the early 2000s. Comparing research and protocol The research I conducted in conjunction with KPFHRMC policy shows that There are many benefits to delaying bathing your newborn. According to Brogan & Rapkin (2017), “an analysis of neonatal temperature data showed that newborns who received delayed immersion baths were less likely to be hypothermic than those who received sponging immediately after birth.” Research conducted by Peer et al. (2013), states that “a retrospective chart review was carried out comparing hospital breastfeeding rates during the 6 months before and 6 months after the bathing delay and the results were: of the infants, 702 met the criteria for inclusion. Before bathing was delayed, newborns were bathed at an average of 2.4 hours of life. Subsequently, the newborns were bathed at an average of 13.5 hours of life. Hospital exclusive breastfeeding rates increased from 32.7% to 40.2% (p<0.05) after bathing was delayed. Multivariable logistic regression analysis showed that infants born after implementation of delayed bathing had a 39% greater likelihood of exclusive breastfeeding than infants born before bathing. intervention (adjusted odds ratio [AOR]=1.39; 95% confidence interval [CI] 1.02, 1.91) and a 59% greater odds of near-exclusive breastfeeding (AOR=1, 59; 95% CI 1.18, 2.15). The odds of initiating breastfeeding were 166% greater for children born after surgery compared to children born before surgery (AOR=2.66; 95% CI 1.29, 5.46). It was concluded that delayed infant bathing was associated with an increased likelihood of breastfeeding initiation and increased rates of breastfeeding in the hospital. "Per Lund (2016), "early postpartum bathing conflicts with WHO and AWHONN skin care guidelines, which recommend leaving residual vernix caseosa intact and allowing it to fade with normal care and handling. Vernix caseosa, a fetal protective film, acts as a chemical and mechanical barrier in the uterus, with the thickest coating accumulating between 36 and 38 weeks of gestation. In the past, bathing was often started early to remove this substance, but retention of the.
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