Delaying newborn baths increases rates of breastfeeding

Monday, Jan. 21, 2019, Cleveland: While it has been standard practice for decades to whisk newborns off to a bath within the first few hours of their birth, a new Cleveland Clinic study found that waiting to bathe a healthy newborn 12 or more hours after birth increased the rate of breastfeeding exclusivity during the newborn hospital stay.

The paper was published Jan. 21 in the Journal for Obstetrics, Gynecologic, and Neonatal Nursing.

Heather DiCioccio, DNP, RNC-MNN, nursing professional development specialist for the Mother/Baby Unit at Cleveland Clinic Hillcrest Hospital, led the study after encountering more mothers requesting to hold off on the first bath.

“They were reading on mom blogs that it was better to wait to bathe their baby the first time, since amniotic fluid has a similar smell to the breast – which may make it easier for the baby to latch” DiCioccio said. She then looked into the practice herself, and found little to no research or studies on the topic.

Nearly 1,000 healthy mother-newborn pairs took part in the study, including 448 babies bathed shortly after birth (January-February 2016) and 548 who delayed the bath (July-August 2016). Results showed exclusive breastfeeding rates increased from 59.8 percent before the intervention to 68.2 percent after the intervention. Newborns in the delayed bath group were also more likely to have a discharge feeding plan that was exclusive to, or at least included, human milk.

DiCioccio points to several factors as to what may link the practice of waiting to bathe to the increased rates of breastfeeding, including skin-to-skin time between mother and baby, smell (the similarity in smell between the amniotic fluid and the breast may encourage babies to latch) and temperature. Babies in the delayed bath group were more likely to have stable/normalized temperatures post first bath. “They weren’t as cold as the babies who were bathed sooner after birth, so they may not have been as tired trying to nurse” DiCioccio said.

“It is now our policy to delay the bath at least 12 hours, unless the mom refuses to wait. In that case, we ask for two hours,” she said. The Cleveland Clinic is currently working toward enacting this delayed bath practice at all of its hospitals. DiCioccio hopes her study spurs more research and ultimately changes the practice nationwide.

The American Academy of Pediatrics recommends exclusive breastfeeding for about 6 months, and then continuing breastfeeding while introducing foods until your child is 12 months old. Breast milk is the best source of nutrition for most babies, and it can also help protect the mother and her baby against illnesses and diseases.

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Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. Among Cleveland Clinic’s 51,000 employees are more than 3,500 full-time salaried physicians and researchers and 14,000 nurses, representing 140 medical specialties and subspecialties. Cleveland Clinic’s health system includes a 165-acre main campus near downtown Cleveland, 10 regional hospitals, more than 150 northern Ohio outpatient locations – including 18 full-service family health centers and three health and wellness centers – and locations in Weston, Fla.; Las Vegas, Nev.; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2016, there were 7.1 million outpatient visits, 161,674 hospital admissions and 207,610 surgical cases throughout Cleveland Clinic’s health system. Patients came for treatment from every state and 185 countries. Visit us at clevelandclinic.org. Follow us at twitter.com/ClevelandClinic. News and resources available at newsroom.clevelandclinic.org.

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