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Initiative to Improve Exclusive Breastfeeding by Delaying the Newborn Bath.

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eMediNexus    25 February 2019

A new study published in the Journal of Obstetric, Gynecologic, and Neonatal Nursing examined whether delayed newborn bathing could increase rates of in-hospital exclusive breastfeeding and plans to use human milk at discharge. This was a retrospective, two-group, pre- and post-intervention study which selected 996 mothers and healthy newborn pairs. Here, newborn baths were delayed at least 12 hours after birth and the rate of in-hospital exclusive breastfeeding was evaluated. Of 996 mother-newborn couplets, 448 were pre-intervention couplets, and 548 were post-intervention couplets. It was noted that, 66.4% of the women were married and 65.2% gave birth vaginally. Of all newborns, 51.5% were females, and the mean (standard deviation) birth weight was 7.4 (1.1) pounds. No differences were recorded in maternal or newborn characteristics by group. In-hospital exclusive breastfeeding increased from 59.8% before the intervention to 68.2% after the intervention. Additionally, in-hospital exclusive breastfeeding increased for all couplets after the intervention and with vaginal versus cesarean birth. The post-intervention discharge feeding plan reflected an increase in use of human milk. Thus, the results indicated that delaying the newborn bath was associated with increased in-hospital exclusive breastfeeding rates and use of human milk, as a part of the discharge feeding plan.

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