Thermal and cardiorespiratory newborn adaptations during hot tub bath

Abstract

Objective: To evaluate thermal and cardiorespiratory adaptation during hot tub bath and shower in healthy newborns in the first hours of life. Study design: This is a randomized blind controlled trial, registered in ReBEC (No. RBR-4z26f3) with 184 newborns divided into hot tub group (n=84) and shower (n=100). Newborns from intervention group were immersed in a hot tub with warm water up to the neck, without exposure to air flow, and control group received traditional shower. Heart rate, respiratory rate and temperature were measured before and immediately after bath by an investigator blinded to the type of bath.Results: Groups were similar in gender, gestational age, birth weight, Apgar score at 5 th minute and hours of life, p => 0.05. To analyze thermal and cardiorespiratory adjustments, difference between postbath variables and pre-bath was calculated. In this analysis, it was found statistically significant difference between two types of bath regarding heart rate, respiratory rate and temperature. Hot tub bath decreases heart and respiratory rates and increases temperature, whereas shower provides the opposite effect (0.0001). Conclusion:This study demonstrates that hot tub baths and shower, in healthy newborns, promote thermal and cardiorespiratory adaptations, reflecting thermal, cardiac and respiratory positive reactions after hot tub bath.

Effects of Swaddled and Sponge Bathing Methods on Signs of Stress and Pain in Premature Newborns: Implications for Evidence‐Based Practice

“…In the study, it was determined that the swaddle bathing affects RR, HR, and SpO2 levels positively. This is supported by similar studies in the literature (Da Fonseca Filho et al., ). In addition, stress and pain lead to increased HR and RR in premature infants and decreased SpO2 (Als, ; Peng et al., ).…”

“…In swaddle bathing, the infant is covered with warm water during bathing, thus reducing heat changes and ensuring heat protection (Hall, ). It has been reported that the heat loss in swaddle bathing is less than conventional bathing (Da Fonseca Filho et al., ; Edraki, Paran, Montaseri, Nejad, & Montaseri, ).…”

Newborn Bathing in Neonatal Intensive Care Units: Recommedations for Newborn Nurses

“…Bununla birlikte bebek banyosu yenidoğanda ağrı kontrolünde kullanılan nonfarmakolojik yöntemleri arasında yer almaktadır. Yenidoğanın uygun sıcaklıktaki (37-38 o C) suya batırılması (küvette banyo) ile birlikte bebekte kan dolaşımı artmakta, kaslar rahatlamakta ve sinir uçlarının duyarlılığı azalmaktadır (17) .…”

“…Term bebeklerde yapılan çalışmalarda da bebek banyosunun fizyolojik değerler üzerinde etkisi olduğu belirlenmiştir (5,17,29) . Ar ve Gözen küvette banyonun duş şeklinde banyo yöntemine göre oksijen satürasyonu ve KAH üzerinde daha olumlu etkileri olduğu saptamışlardır (29) .…”

Efeitos da ofuroterapia no relaxamento e ganho de peso em recém-nascidos prematuros na unidade de cuidados neonatal

“…A ofuroterapia, também conhecida como "banho de ofurô", consiste em uma modalidade da hidroterapia, sendo esta utilizada como uma conduta de humanização da assistência a RNPT's estáveis clinicamente. Através da imersão corporal, do posicionamento e das propriedades da água, a aplicação da ofuroterapia em RNPT's provocará sensações semelhantes à do espaço intrauterino, como segurança e relaxamento, além de favorecer a estes um adequado desenvolvimento neuropsicomotor e afetivo 7,[12][13][14][15][16] .…”