Re-warming baby after first bath: A non-randomized clinical trial
View File(s)
- Author(s)
- Details
-
Sino S. George, MSN, APRN, RNC-OB, WHNP-BC
- Sigma Affiliation
- Alpha Epsilon
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for George, Sino S. by View
Title | Page Views |
---|
Popular Works for George, Sino S. by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Friday, July 25, 2014:
Purpose: To evaluate two methods of re-warming newborns, radiant warming (RW) and skin to skin (S2S). The research question is, "In a population of healthy, full-term newborns, is S2S contact with mother as effective as RW in restoring the newborn's temperature after the first bath?"
Methods: Newborn temperatures were taken immediately prior to the bath (T1), and 30 minutes (T2) and 60 minutes (T3) after the bath. Descriptive statistics and tests were used to determine differences between groups and between time points.
Results: Because 96 of the first 100 mothers chose S2S re-warming, we concluded the study early and analyzed the data. Of the 96 mothers who chose S2S, 92 successfully re-warmed and 4 required rescue re-warming under the RW. Careful review of newborns requiring rescuing showed inadequate skin to skin contact or removal of protective covering. Incidental findings: a) African American mothers were significantly younger, had smaller babies and had lower temperature than non-African American babies.
Conclusion: Given a choice mothers overwhelmingly preferred S2S re-warming. Newborns can safely re-warm S2S if staff pay special attention to how they are positioning the baby and re-check mother and baby frequently. This study has profound clinical significance for nursing practice. First, we're failing to provide an option for re-warming that many of our mothers would choose. Second, S2S re-warming adds opportunities for mothers to nurse their newborns. Promoting breastfeeding is also in line with the Healthy People 2020 goals for increasing breastfeeding rates. Unexpected finding of racial differences in maternal and newborn characteristics will require further investigation.
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Keywords | Newborn Bath; Re-Warming; Skin to Skin |
Name | 25th International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Hong Kong |
Date | 2014 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Time of music in newborn pain: Randomized clinical trial
Cardoso, Maria Vera Lucia Moreira Leitao; Melo, Gleicia MartinsAmong the non-pharmacological measures to minimize physiologic and behavioral reactions on newborns exposed to pain, one is the music. It is relevant to investigate the effect of music intervention when applied in two ... -
Timing of newborn first bath to improve outcomes and reduce preventable transfers to the NICU
Armstrong, RaquelAn evidence-based quality improvement project resulted in statistically significant decreases in hypoglycemia, hypothermia, and tachypnea secondary to delaying an infant's first bath by at least 12 hours. In addition, there ... -
Skin-to-skin contact after birth to promote newborns' vital stabilization: An evidence-based project
Bricker, Stephanie; Johnson, Rachel; Stom, Caitlin (2016-02-05)The hours immediately following birth are a crucial time for an infant to sustain life. Skin-to-skin contact (SSC) during this time provides the infant with natural thermoregulation and promotes oxygenation. The purpose ... -
Improving clinical outcomes and physical activity in older adults with comorbidity: A randomized controlled trial
Schlenk, Elizabeth A.; Sereika, Susan M.; Rogers, Joan; Fitzgerald, G. Kelley; Kwoh, C. Kent (2017-07-03)Purpose: Over 9 million Americans have osteoarthritis (OA) of the knee, a chronic disorder associated with frequent knee pain and functional limitations that intrude upon everyday life. About half of those with OA of ... -
Focus on fidelity: Delivering what's intended in a multi-site randomized clinical trial
Morrison, Janet D.; Stuifbergen, Alexa (2017-07-19)Purpose: Intervention fidelity, the degree to which an intervention study is carried out as proposed, is critical to ensuring internal validity, reliability and generalizability of research findings (Gearing et al., ...