The purpose of this study was to determine if changing the timing of the initial newborn bath
would have an impact on exclusive breastfeeding
during hospitalization. The first newborn bath
had been routinely done within 2 hours of age; practice was changed to the first bath being delayed until at least 12 hours of age. A secondary purpose was to examine the nurses' perceived benefits and challenges to such a change.
Study Design and Methods:
Through a retrospective design, exclusive breastfeeding
rates among mother–infant
couplets prepractice change (cohort A) were compared with two postchange cohorts (B and C). Cohorts B and C were from the first 5 months and second 5 months, respectively after the practice change. Demographic information, birth type, bath timing, and feeding data were collected. Comparative statistics were applied to the three cohorts to examine differences in exclusive breastfeeding
rates. Postpartum nurses were asked two open-ended questions on concerns and benefits of this change via an anonymous survey. Content analysis was completed on responses.
There were 1,463 mother–infant
couplets included in three cohorts (A: n
= 564; B: n
= 468; C: n
= 431). There were no significant increases in the exclusive breastfeeding
rates (baseline 74.1%) in both the first postimplementation delayed bath cohort (70.1%, p
= .207) and the second “sustainability” cohort (79.4%, p
= .060). Fifteen of the 60 postpartum nurses completed the survey, for a response rate of 25%. Themes generated from survey responses included concerns (infection control, work distribution), as well as benefits (perceived breastfeeding success, decreased workload) with delaying the first newborn bath
Delaying the first newborn bath
may be one factor that can influence exclusive breastfeeding
rates during postpartum hospitalization. Results have been mixed based on recent literature. In our study, the exclusive breastfeeding
rate was already above average, as would be expected in a Baby-Friendly designated hospital and may be a reason we did not see a significant change in the rate among mother–infant
couplets in our study. Randomized trials are needed for a rigorous evaluation of timing of the newborn bath
and possible link to exclusive breastfeeding
in the hospital and beyond.