Delayed Newborn First Bath and Exclusive Breastfeeding Rates
| Autor: | Ann Lowther, Jennifer Turney, Willa Fields, Deene Mollon, Jeanine Pyka |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Bathing Breastfeeding California Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Practice change 030225 pediatrics Humans Medicine General Nursing Chi-Square Distribution 030219 obstetrics & reproductive medicine business.industry Obstetrics Infant Newborn Gestational age Baths Guideline Community hospital Breast Feeding Evidence-Based Practice Female business |
| Zdroj: | Nursing for Women's Health. 23:31-37 |
| ISSN: | 1751-4851 |
| Popis: | Objective To develop an evidence-based practice project to evaluate the effect of delaying a newborn's first bath on exclusive breastfeeding rates at discharge. Design A pre- and post-implementation evaluation of the effect of delaying the first bath on exclusive breastfeeding rates at discharge. Setting A postpartum unit in a southern California community hospital. Participants Breastfeeding dyads of women and newborns (>37 weeks gestational age) who were admitted to the postpartum unit. Intervention/Measurements Postpartum nurses involved in the unit practice council, in collaboration with unit leadership, changed the newborn's first bath practice through development of a bathing guideline, nurse education, and mother education. Measurements of the practice change included time of the first bath and exclusive breastfeeding rates at discharge. Results We observed an increased time for the newborn's first bath from 6.88 hours to 13.71 hours (p ≤ .001). The number of times women chose not to bathe their newborns while in the hospital also increased by approximately seven times, from 0.16% to 1.1%. The rate of exclusive breastfeeding at discharge did not change significantly after implementation (p ≥ .05), regardless of when the first bath was given. Conclusion Delaying a newborn's first bath was not associated with an increase in exclusive breastfeeding rates. More research is needed to determine the effect of bath times. |
| Databáze: | OpenAIRE |
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