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/ Source: TODAY
By A. Pawlowski
Many babies are washed shortly after taking their first breath, but New evidence shows that it is best to wait before the trip to a small vessel.
Delay of a healthy newborn's first bath for at least 1
"It makes us happy to see it happen", author author Heather Condo DiCioccio, DNP, RNC-MNN, told today. "Any increase we can get in breastfeeding will be significant."
This is because breastfeeding has "unbeatable health benefits for babies and mothers", the Centers for Disease Control and Prevention Notes.
DiCioccio is a care professional development specialist for the mother / baby unit at the Cleveland Clinic Hillcrest Hospital in Mayfield Heights, Ohio, who used to have a policy to bathe a baby within two hours of birth.
However, as more and more patients began to ask nurses to stop washing their newborns in recent years, she and her colleagues decided to investigate reports that this practice could increase breastfeeding success. The World Health Organization already recommends delaying a child's first bath until 24 hours after birth, even if it does not provide a justification for the recommendation.
The study included 996 pairs of women and their healthy newborns. About half – 448 – fell under the hospital's previous policy for bathing children, as they were about two hours old. The other 548 grandchildren followed the new protocol – with nurses delaying the first bath for at least 12 hours.
When researchers compared the two groups, they found exclusive breast rates – meaning no formal use during the family hospital stay – rose from 59.8 percent in the first group to 68.2 percent after political change.
Why is it happening?
One possible explanation is that delay of a bath translates to more uninterrupted skin-to-skin time between baby and mother, meaning a calmer, less stressed baby ready to breast-feed.
"It's important that you keep up with your baby, have that bond with the baby without having the baby taken away from you right away," said Debbie Onwuka, who recently gave birth to the Cleveland Clinic Hillcrest Hospital. She did not participate in the study, but followed the protocol to delay the baby's first bath for more than 12 hours.
"It also helps mum to calm down with just having their baby on their chest and knowing they just created a human," Onwuka added.
In the study, the effect was stronger in women who delivered vaginally – probably because their babies were immediately placed on their breasts as compared to deliveries of C-sections when it can last up to 30 minutes before skin to skin contact begins, DiCioccio says. .
Another possibility is that newborns rely on a well-known scent that will lead them to the chest.
"They've been swimming in amniotic fluid for 38, 39, 40 weeks of their lives and the mother's breast is spreading a similar smell to the amniotic fluid," DiCioccio said. "So the thought might be that the two smells actually help this baby lock. It makes it easier for the baby to find something comfortable and normal and that they like."
The study also found that newborns who were bathed later , was more likely to have a normal bath temperature compared to the younger babies who were cold and perhaps too tired to breastfeed as a result. "The inner mother was about 98.6 degrees, but most babies are born in rooms that are about 70 degrees. In the first few hours after birth, a baby needs a lot of energy to keep warm," notes Children & # 39; s Mom Docs, a blog written by pediatricians.
Other benefits of delaying the first bath do not include washing of vernix, white film newborns covered with antimicrobial properties and properties that help a baby's lung development, DiCioccio said.
Some newborns may still need the first bath before
If the mother has been diagnosed with HIV, has active herpes lesions or hepatitis B or C, nurses will still bathe their newborns about two hours because there is too much risk of being exposed to blood-borne pathogens, DiCioccio said.
Hospitals follow different policies
Every clinic has its "own things" in place right now, she added, so it is possible that expectant mothers may encounter pushback. Some nurses can withstand the changes, but DiCioccio urged them to reconsider.
"If her mother is willing to wait and want to wait, let her," she said.
As for new mother, DiCioccio had this advice: Trust your gut. If your intestine says: "I'm not quite ready to bathe my baby," Go with it. & # 39;