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eMediNexus 08 December 2022
The present systematic review of intervention trials and observational studies assessed the effect of delaying the first bath for at least 24 hours after birth, compared to conducting it within the first 24 hours, in terms of healthy newborns.
It searched MEDLINE via PubMed, Cochrane CENTRAL, Embase, CINAHL (updated till November 2021), and clinical trials databases and reference lists of retrieved articles. The study looked for outcomes including neonatal mortality, systemic infections, hypothermia, hypoglycemia, and exclusive breastfeeding (EBF) rates. It used the GRADE approach to assess the certainty of evidence.
The study observed-
The study conducted a post-hoc analysis for studies that defined early bath as ≤6 hours and found-
This study shows that a delayed first bath for at least 24 hours might reduce infant mortality and hypothermia. Furthermore, a delayed bath for at least 6 hours may prevent hypothermia and hypoglycemia and improve EBF rates at discharge. However, most of these findings are backed by low-certainty evidence.
Priyadarshi M, Balachander B, Gupta S, Sankar MJ. Timing of first bath in term healthy newborns: A systematic review. J Glob Health. 2022 Aug 17;12:12004. Doi: 10.7189/jogh.12.12004. PMID: 35972992; PMCID: PMC9380966.
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