A newborn's first bath: when?

J Obstet Gynecol Neonatal Nurs. 1996 Jul-Aug;25(6):481-7. doi: 10.1111/j.1552-6909.1996.tb01468.x.

Abstract

Objective: To determine the effects of early admission bathing on thermoregulation in newborns.

Design: Randomized, comparative study.

Setting: A regional hospital providing primary and secondary newborn care.

Participants: One hundred healthy, full-term newborns.

Interventions: Newborns in the investigational group with a minimum rectal temperature of 36.5 degrees C. were bathed after the newborn admission assessment examination was completed (M = 61.15 minutes of age), whereas newborns in the control group were bathed at the standard of 4 hours of age (M = 252.12 minutes of age).

Main outcome measure: Rectal temperatures were measured using a Diatek thermometer. Rectal temperatures were recorded during the newborn admission assessment examination, immediately before bathing, immediately after bathing, 1 hour after bathing, and 2 hours after bathing.

Results: No significant differences (p < .05) in rectal temperatures, were found between the groups during the admission assessment examination, before bathing, immediately after bathing, 1 hour after bathing, or 2 hours after bathing. No significant differences were found between the groups in type of delivery, time of birth, gestational age, birth weight, Apgar scores at 1 and 5 minutes, air temperature, apical heart rate, or respiratory rate.

Conclusions: Healthy, full-term newborns whose rectal temperatures are greater than 36.5 degrees C can be bathed immediately after the admission assessment examination.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Analysis of Variance
  • Baths*
  • Body Temperature
  • Body Temperature Regulation*
  • Humans
  • Infant, Newborn / physiology*
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control
  • Time Factors