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Background: Newborn infants are susceptible to hypothermia during bathing due to environmental conditions. Purpose: This study examined the effects of 2 common newborn bathing methods used in Turkey, underrunning water bathing (URWB) and immersion tub bathing (ITB), on infant heart rate (HR), oxygen saturation, and body temperature. Methods: In this randomized controlled study, 44 newborns were allocated to the ITB group and 36 newborns to the URWB group. Body temperature, HR, and oxygen saturation values of the newborns were compared between groups every hour during 4 hours before the bath to evaluate infants' vital sign stability. All measurements were compared at 10, 20, 40, and 60 minutes after the bath too. Results: No statistically significant differences were found in vital signs performed prior to bathing as compared with after bathing; however, changes in oxygen saturation at 20 minutes after the bath were significantly higher in the ITB group (P < .05). Conclusion: Although both bathing methods decreased overall infant body temperature, ITB positively affected newborn oxygen saturation and HR to a greater degree compared with URWB. Implications for Practice: ITB facilitated maintenance of oxygen saturation and HR during the bath and should be preferred for newborn infants to feel more relaxed. Implications for Research: These findings indicate a need for additional studies with larger sample sizes to further evaluate the effect of different bathing methods on newborn comfort.
Background: Newborn infants are susceptible to hypothermia during bathing due to environmental conditions. Purpose: This study examined the effects of 2 common newborn bathing methods used in Turkey, underrunning water bathing (URWB) and immersion tub bathing (ITB), on infant heart rate (HR), oxygen saturation, and body temperature. Methods: In this randomized controlled study, 44 newborns were allocated to the ITB group and 36 newborns to the URWB group. Body temperature, HR, and oxygen saturation values of the newborns were compared between groups every hour during 4 hours before the bath to evaluate infants' vital sign stability. All measurements were compared at 10, 20, 40, and 60 minutes after the bath too. Results: No statistically significant differences were found in vital signs performed prior to bathing as compared with after bathing; however, changes in oxygen saturation at 20 minutes after the bath were significantly higher in the ITB group (P < .05). Conclusion: Although both bathing methods decreased overall infant body temperature, ITB positively affected newborn oxygen saturation and HR to a greater degree compared with URWB. Implications for Practice: ITB facilitated maintenance of oxygen saturation and HR during the bath and should be preferred for newborn infants to feel more relaxed. Implications for Research: These findings indicate a need for additional studies with larger sample sizes to further evaluate the effect of different bathing methods on newborn comfort.
Purpose: The study was designed as an experimental study to describe the effect of the first bathing time on the body temperature and skin moisture of a newborn after birth.Design and Methods: The study population consisted of term newborns between JanuaryThe sample group was randomly divided into two groups according to different bathing times. The first group (39 infants) was given a bath 24 hr after birth, and the second group (34 infants) was given a bath 48 hr after birth. The infants in both the groups were dried with the first towel and then wrapped in a second dry towel, and a cap put to prevent hypothermia and to minimize any minor fluid loss. The body temperature and skin moisture level were measured before the bath, after the bath, and 10 min after the bath.Results: It was determined that the 10th-minute body temperatures of the infants with the first bathing time 48 hr after birth were significantly higher compared with the infants with the first bath time 24 hr after birth (Z = −2.654; p = .008).Practical Implications: Postponing of the first bathing time of newborns to 48 hr after birth was effective in preserving the body temperature of the infant. Postponing the bath to the 48th hr improved moisture, which may improve skin integrity and aid with skin development. K E Y W O R D S baths, body temperature, infant, newborn, skin 1 | WHAT IS CURRENTLY KNOWN? Bathing newborns is a part of routine care in hospital nurseries. While some studies recommend that newborns should be bathed during the first 2-4 hrs after birth, the World Health Organization (2013) suggests that newborns should be bathed when vital signs are stable within 24 hr after birth. | WHAT DOES THIS ARTICLE ADD?As a result of this research, postponing the first bath 48 hours after birth shows a positive effect on keeping the body temperature and moisture of the infant. | INTRODUCTIONChanges occur in the skin of newborns during the process of their adaptation to the external environment as a result of the transition from the postnatal intrauterine medium to the extrauterine medium.These changes begin quickly after birth. The maturation of the skin structure and functions of newborns starts from the first months and continues for a lifetime (Dyer, 2013;Kuller, 2014). Providing hydration of the stratum corneum is effective in maintaining skin integrity, skin barrier function property, and body temperature. The stratum corneum layer of the newborn's skin is relatively drier when compared with bigger infants (1, 2, 6-month-old) and adults, and the water retention capacity of the skin is more limited due to the lower sweat gland activity (Visscher, 2009).
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