fbpx
Picture of a baby's face having fun while being bathed

Are you bathing your baby too often? Evidence-Based Newborn Care

March 12, 2024

Welcome, new parents, to a journey guided by science as we explore the optimal bathing frequency for your precious newborn. In this evidence-based guide, we’ll delve into the scientific insights surrounding newborn skin and expert recommendations to help you establish a bathing routine that prioritizes your baby’s delicate needs.

Scientific Insights into Newborn Skin

A Newborn’s skin is more delicate than an older child or adult. They have thinner outer skin layers, less collagen, and a flatter connection between layers (De Bengy, et al., 2022). Their deepest skin layer is also thinner, making it easier for their skin to get damaged from pressure or rubbing. At a tiny, molecular level, there’s less of a substance called transforming growth factor β (TGFβ), which helps make the skin’s structure. They also have a higher skin pH, affecting certain enzymes and making the skin’s protective barrier less effective. There’s also a risk of reduced blood flow to the skin, making it more vulnerable(De Bengy, et al., 2022).

When a baby’s skin is still developing, it can be more easily harmed by chemicals, germs, and skin problems. This can affect the baby’s overall health. Babies born before their due date have an even less developed skin barrier, so they are at an even higher risk. It’s very important to check for the risk of infection, skin issues, absorbing things through the skin, and problems with keeping the right body temperature (Oranges, et al., 2015).

Influencing Factors on Bathing 

When cleaning newborns, it’s important to be extra careful to avoid causing irritation to their skin or eyes and making them more likely to get skin infections or diseases. It’s suggested that caregivers use gentle liquid cleansers that have a neutral or slightly acidic pH for washing babies. Using liquid cleansers is better than just using water, and it’s also better to choose liquid products over solid cleansing bars because the liquids often have moisturizing ingredients (Oranges, et al., 2015).

Frequent bathing is not necessary for your newborn (Mayo Clinic, 2022). Providing a bath three times a week is generally sufficient, especially before your baby becomes more mobile. Excessive bathing can contribute to skin dryness in infants (Mayo Clinic, 2022).

Maintaining thorough hygiene for a baby involves meticulous attention to often overlooked areas that parents might unintentionally miss. It’s crucial to pay special attention to places like behind the ears, under the chin, and between the folds of skin on their neck, as these areas can accumulate moisture and become a breeding ground for bacteria. Similarly, cleaning behind the knees and in between their tiny toes is vital, as these warm, moist spaces are prone to trapping dirt and can be overlooked during routine cleaning. Gently using a mild baby cleanser and a soft washcloth to clean these often neglected regions ensures that the baby’s delicate skin remains healthy and free from irritation. Taking the time to address these specific areas not only promotes overall cleanliness but also contributes to the baby’s comfort and well-being.

Efficient and thorough management of diaper changes and the use of burp cloths can effectively address the areas that require attention such as the face, neck, and diaper region. Between bathing sessions, it is advisable to inspect the skin folds, including the thighs, groin, armpits, and chin (Mayo clinic).

The Academy of pediatrics recommends that infants keep their umbilical cord dry until it has fallen off and healed, so a sponge bath the first few weeks of life is recommend (Mayo Clinic, 2022) 

Bath Safety 

For a safe bath experience, keep the water depth at about 2 inches and always give your baby undivided attention, securely holding them throughout. Never leave your baby alone in the tub, even momentarily (Mayo Clinic, 2022). Ensure the water temperature is warm—around 100 F —to prevent scalding, and check it with your hand before bathing. Adjust your water heater thermostat to below 120 F for added safety. If you forget anything for the bath, take your baby with you. Additionally, maintain a comfortably warm room, as a wet baby is prone to chilling (Mayo, 2022). Following a bath is the perfect time for skin to skin, as it helps regulate baby’s temperature and promotes bonding (Widström, et al., 2019)

When it comes to preventing infant drowning during bath time, meticulous attention and precautionary measures are essential. Always keep a watchful eye on the baby, refraining from leaving them alone in the water, even if it’s just for a brief moment. Arrange all necessary bath items, such as soap, shampoo, and towels, within easy reach to eliminate the need to step away. To ensure a secure grip on the baby, use one hand to support their neck and head while the other hand supports their back as they lie in the water. Utilizing a non-slip bath mat adds an extra layer of safety, preventing accidental slips and falls. Furthermore, establish a consistent routine when entering and exiting the tub, maintaining a firm hold on the baby throughout the process. These comprehensive precautions collectively contribute to a safe and enjoyable bathing environment for infants.

Conclusion 

In conclusion, navigating the delicate realm of newborn care requires a thoughtful approach to bathing, rooted in scientific understanding. As we’ve explored the intricacies of newborn skin, it becomes evident that their unique physiological characteristics demand careful consideration. The thinner layers, reduced collagen, and distinctive molecular composition make their skin susceptible to damage, necessitating a meticulous approach to cleansing. By embracing evidence-based insights, we’ve learned that choosing gentle liquid cleansers with a neutral pH, maintaining optimal water temperature, and ensuring vigilant supervision during baths are crucial elements of a safe bathing routine. The recommended frequency of bathing, approximately two to three times a week, aligns with the goal of preserving the infant’s skin moisture and preventing dryness. Beyond the bath, attentive management of diaper changes and skin inspection in between sessions adds an extra layer of care. Following the Academy of Pediatrics’ advice on keeping the umbilical cord dry in the initial weeks further underscores the importance of a well-informed and gentle approach to newborn hygiene. In conclusion, with the knowledge of newborn skin intricacies and evidence-based practices new parents can confidently plan an evidence based bathing routine.