Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Feb;77(2):1051-1061.
doi: 10.1111/jan.14657. Epub 2020 Nov 18.

The effect of delaying first bathing on skin barrier function in late preterm infants: A study protocol for multi-centre, single-blind RCT

Halil İbrahim Taşdemir  1 , Emine Efe  1
Affiliations

The effect of delaying first bathing on skin barrier function in late preterm infants: A study protocol for multi-centre, single-blind RCT

Halil İbrahim Taşdemir et al. J Adv Nurs. 2021 Feb.

Abstract
in English, Chinese

Aims: The study aims to examine the effect of delaying first bathing on skin barrier function, body temperature, and neonatal comfort of late preterm infants.

Design: This study is a multi-centre, single-blind, prospective randomized controlled trial.

Methods: We attempt to report this randomized controlled trial to comply with the SPIRIT. The study population will consist of 80 late preterm infants born at three centres (hospitals) in Turkey. The study, between September 2020-September 2021 will be held in the Neonatal Intensive Care Unit. The participants will be randomly divided into two groups, each with different bathing times. The first group (N = 40) will be bathed between 24-48 hr after birth and the second group (N = 40) will be bathed between 48-72 hr after birth. Each group's intervention will be performed by a blinded researcher. The infants' transepidermal water loss, body temperature, and comfort level will be measured before the bath and again at three times after the bath. The measurements will be taken by a blinded researcher and blinded nurse.

Discussion: The benefits of infant bathing are known. However, the effect of delaying first bathing of late preterm infants on skin barrier function is unknown. At the same time, the effect of delaying bathing on maintaining body temperature and neonatal comfort is unknown.

Impact: This study is expected to provide a piece of credible evidence of the delay of first bathing and benefit of neonatal care in this population. It is thought that postponing bathing time of late preterm infants to 48-72 hr after birth will lead to a protective effect on skin barrier and temperature. It will be performed in clinical practice if it can effectively improve transepidermal water loss and heat loss.

Trial registration: It was registered at ClinicalTrials.gov in January 2020 (NCT04231799).

摘要: 本研究旨在研究延迟首次沐浴对晚期早产儿的皮肤屏障功能、身体温度以及新生儿舒适度的影响。 设计: 本研究是一项多中心单盲法前瞻性随机对照试验。 方法: 本研究尝试报告此随机对照试验以符合SPIRIT。本研究样本包含在土耳其三家中心(医院)出生的80名晚期早产儿。将于2020年9月到2021年9月在新生儿重症监护室进行本研究。将参与者随机分成两组,每组沐浴时间不同。第一组(N = 40)在出生后24-48小时内进行沐浴,第二组(N = 40)在出生后48-72小时内进行沐浴。将由一名不知情研究者进行每组的干预。婴儿在沐浴前和沐浴后三遍会测量其经皮水分散失、体温和舒适度。由不知情研究者和不知情护士进行测量。 讨论: 婴儿沐浴的好处众所周知。然而,对晚期早产儿延迟第一次沐浴对皮肤屏障的效果是未知的。同时,延迟沐浴对卫生身体温度和新生儿舒适感的影响也是未知的。 影响: 预期本研究将为该样本首次沐浴延迟和新生儿护理的益处提供可靠的证据。将早产儿的沐浴时间推迟到出生后48-72小时,将对皮肤屏障和温度产生保护作用。如果可以有效改善经皮水分散失和热量流失,将在临床实践中进行该研究。 试验注册: 该试验于2020年1月在ClinicalTrials.gov注册(NCT04231799)。.

Keywords: bath; comfort; first bathing; newborn; preterm infant; skin care; thermoregulation; transepidermal water loss.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

  • Skin care interventions in infants for preventing eczema and food allergy.
    Kelleher MM, Phillips R, Brown SJ, Cro S, Cornelius V, Carlsen KCL, Skjerven HO, Rehbinder EM, Lowe AJ, Dissanayake E, Shimojo N, Yonezawa K, Ohya Y, Yamamoto-Hanada K, Morita K, Axon E, Cork M, Cooke A, Van Vogt E, Schmitt J, Weidinger S, McClanahan D, Simpson E, Duley L, Askie LM, Williams HC, Boyle RJ. Kelleher MM, et al. Cochrane Database Syst Rev. 2022 Nov 14;11(11):CD013534. doi: 10.1002/14651858.CD013534.pub3. Cochrane Database Syst Rev. 2022. PMID: 36373988 Free PMC article.

References

REFERENCES

    1. Anderson, G. C., Lane, A. E., & Chang, H. P. (1995). Axillary temperature in transitional newborn infants before and after tub bath. Applied Nursing Research, 8(3), 123-128. https://doi.org/10.1016/s0897-1897(95)80591-5
    1. Ar, I., & Gözen, D. (2018). Effects of underrunning water bathing and immersion tub bathing on vital signs of newborn infants. Advances in Neonatal Care, 18(6), 3-12. https://doi.org/10.1097/anc.0000000000000484
    1. Arredondo, M., & Tamayo, L. (2007). Enfoque semiológico de las patologías de la piel del neonato [Semiology of skin diseases of newborns]. Revista De La Asociación Colombiana De Dermatología, 15(4), 261-272.
    1. Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). (2018). Neonatal skin care: Evidence-based clinical practice guideline (4th ed.). AWHONN.
    1. Ayyildiz, T., Kulakci, H., Ayoglu, F. N., Kalinci, N., & Veren, F. (2015). The effects of two bathing methods on the time of separation of umbilical cord in term babies in Turkey. Iranian Red Crescent Medical Journal, 17(1), e19053. https://doi.org/10.5812/ircmj.19053

Publication types

Associated data