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J Obstet Gynecol Neonatal Nurs. 2004 Mar-Apr;33(2):175-82.

The effect of bather and location of first bath on maintaining thermal stability in newborns.

Author information

1
School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.

Abstract

OBJECTIVE:

To compare thermal stability during the first bath of newborns bathed by maternal-child nurses in a newborn nursery with thermal stability of newborns bathed by parents at the maternal bedside.

DESIGN:

A randomized clinical controlled trial.

SETTING:

A tertiary care hospital in western Canada.

PARTICIPANTS:

Participants (N = 111) were full-term newborns born vaginally.

INTERVENTIONS:

The experimental treatment was the parent bathing the newborn under nursing supervision at the bedside in the first few hours of birth; the standard treatment was a nurse bathing the newborn in an admission nursery.

MAIN OUTCOME MEASURES:

The main outcome measure was newborn heat loss occurring from bathing as assessed by changes in aural temperatures, which were taken before, during, and following bathing.

RESULTS:

There was no difference in temperature change between newborns bathed by a nurse and those bathed by a parent (F = 0.595, df = 1, p = .442). A return to normal thermal ranges takes approximately an hour.

CONCLUSION:

Heat loss experienced by newborns during bathing is significant and is not associated with who bathes the newborn or where the bath takes place.

PMID:
15095796
[Indexed for MEDLINE]

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