Evidence-Based Consensus Recommendations for Skin Care in Healthy, Full-Term Neonates in India

References

• Statista Research Department. Number of births by type in India FY 2015-2020; 2021; Available from: https://www.statista.com/statistics/659283/childbirths-by-type-india/. Accessed February 26, 2021.
   Google Scholar
• Sankar MJ, Neogi SB, Sharma J, et al. State of newborn health in India. J Perinatol. 2016;36(s3):S3–S8.
   PubMed Web of Science ®Google Scholar
• Bhakoo O. Challenges and opportunities of neonatal care in India. J Pediatrics Assoc India. 2017;6(3):132.
   Google Scholar
• World Health Organization. WHO Fact sheets. Newborns: improving survival and well-being; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality. Accessed February 26, 2021.
   Google Scholar
• Visscher MO, Adam R, Brink S, Odio M. Newborn infant skin: physiology, development, and care. Clin Dermatol. 2015;33(3):271–280.
   PubMed Web of Science ®Google Scholar
• Darmstadt GL, Dinulos JG. Neonatal skin care. Pediatr Clin North Am. 2000;47(4):757–782.
   PubMed Web of Science ®Google Scholar
• Eyerich S, Eyerich K, Traidl-Hoffmann C, Biedermann T. Cutaneous Barriers and Skin Immunity: differentiating A Connected Network. Trends Immunol. 2018;39(4):315–327.
   PubMed Web of Science ®Google Scholar
• Bouslimani A, da Silva R, Kosciolek T, et al. The impact of skin care products on skin chemistry and microbiome dynamics. BMC Biol. 2019;17(1):47.
   PubMedGoogle Scholar
• Chuong CM, Nickoloff BJ, Elias PM, et al. What is the ‘true’ function of skin? Exp Dermatol. 2002;11(2):159–187.
   PubMed Web of Science ®Google Scholar
• Darmstadt GL, Mao-Qiang M, Chi E, et al. Impact of topical oils on the skin barrier: possible implications for neonatal health in developing countries. Acta Paediatr. 2002;91(5):546–554. doi:10.1111/j.1651-2227.2002.tb03275.x
   PubMed Web of Science ®Google Scholar
• Bangari A, Thapliyal SK, Aggrawal B, Sharma U. Traditional beliefs and practices in newborn care among mothers in a tertiary care centre in Dehradun, Uttarakhand, India. Int J Community Med Public Health. 2019;6(2600):10.18203.
   Google Scholar
• Langan RC. Discharge procedures for healthy newborns. Am Fam Physician. 2006;73(5):849–852.
   PubMed Web of Science ®Google Scholar
• Howard County General Hospital. Taking Baby Home. Howard County General Hospital, John Hopkins Medicine; 2010. Available from: https://www.hopkinsmedicine.org/howard_county_general_hospital/_downloads/takingbabyhome_english.pdf. Accessed February 26, 2021.
   Google Scholar
• Ministry of Health and Family Welfare, Government of India. National Guidelines for Infection Prevention and Control in Healthcare Facilities; 2020. Available from: https://www.mohfw.gov.in/pdf//National%20Guidelines%20for%20IPC%20in%20HCF%20-%20final%281%29.pdf. Accessed February 26, 2021.
   Google Scholar
• Brandon D, Hill CM, Heimall L, et al. Neonatal Skin Care: evidence-Based Clinical Practice Guideline. In: Obstetric and Neonatal Nurses. 4th ed. Washington D.C: Association of Women’s Health; 2018:147.
   Google Scholar
• Blume-Peytavi U, Lavender T, Jenerowicz D, et al. Recommendations from a European Roundtable Meeting on Best Practice Healthy Infant Skin Care. Pediatr Dermatol. 2016;33(3):311–321.
   PubMed Web of Science ®Google Scholar
• World Health Organization. Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice; 2015. Available from: https://www.who.int/maternal_child_adolescent/documents/imca-essential-practice-guide/en/. Accessed February 26, 2021.
   Google Scholar
• Madhu R, Vijayabhaskar C, Anandan V, et al. Indian Academy of Pediatrics Guidelines for Pediatric Skin Care. Indian Pediatr. 2021;58(2):153–161.
   PubMed Web of Science ®Google Scholar
• UNICEF. Skin-to-skin contact; 2020. Available from: https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/implementing-standards-resources/skin-to-skin-contact/. Accessed February 26, 2021.
   Google Scholar
• World Health Organization‎. Recommendations on newborn health: guidelines approved by the WHO Guidelines Review Committee; 2017. Available from: https://apps.who.int/iris/handle/10665/259269. Accessed February 26, 2021.
   Google Scholar
• Marin Gabriel MA, Llana Martin I, Lopez Escobar A, Fernandez Villalba E, Romero Blanco I, Touza Pol P. Randomized controlled trial of early skin-to-skin contact: effects on the mother and the newborn. Acta Paediatr. 2010;99(11):1630–1634.
   PubMed Web of Science ®Google Scholar
• Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2012;1(5):CD003519.
   Google Scholar
• Nimbalkar SM, Patel VK, Patel DV, Nimbalkar AS, Sethi A, Phatak A. Effect of early skin-to-skin contact following normal delivery on incidence of hypothermia in neonates more than 1800 g: randomized control trial. J Perinatol. 2014;34(5):364–368.
   PubMed Web of Science ®Google Scholar
• Prescott SL, Larcombe DL, Logan AC, et al. The skin microbiome: impact of modern environments on skin ecology, barrier integrity, and systemic immune programming. World Allergy Organ J. 2017;10(1):29.
   PubMedGoogle Scholar
• Srivastava S, Gupta A, Bhatnagar A, Dutta S. Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian J Public Health. 2014;58(1):22–26.
   PubMedGoogle Scholar
• American Academy of Pediatrics. Committee on Infectious Disease, Red book: 2015 Report of the Committee on Infectious Diseases; 2015. Available from: https://redbook.solutions.aap.org/DocumentLibrary/Red%20Book%202015%201.pdf. Accessed February 26, 2021.
   Google Scholar
• Bryanton J, Walsh D, Barrett M, Gaudet D. Tub bathing versus traditional sponge bathing for the newborn. J Obstet Gynecol Neonatal Nurs. 2004;33(6):704–712.
   PubMed Web of Science ®Google Scholar
• Loring C, Gregory K, Gargan B, et al. Tub bathing improves thermoregulation of the late preterm infant. J Obstet Gynecol Neonatal Nurs. 2012;41(2):171–179.
   PubMed Web of Science ®Google Scholar
• Gelmetti C. Skin cleansing in children. J Eur Acad Dermatol Venereol. 2001;15 Suppl 1:12–15.
   PubMed Web of Science ®Google Scholar
• Walters RM, Fevola MJ, LiBrizzi JJ, Martin K. Designing cleansers for the unique needs of baby skin. Cosmetics Toiletries. 2008;123(12):53–60.
   Google Scholar
• Lund CH, Osborne J. Validity and reliability of the neonatal skin condition score. J Obstet Gynecol Neonatal Nurs. 2004;33(3):320–327.
   PubMed Web of Science ®Google Scholar
• Garcia Bartels N, Scheufele R, Prosch F, et al. Effect of standardized skin care regimens on neonatal skin barrier function in different body areas. Pediatr Dermatol. 2010;27(1):1–8.
   PubMed Web of Science ®Google Scholar
• Simpson EL, Chalmers JR, Hanifin JM, et al. Emollient enhancement of the skin barrier from birth offers effective atopic dermatitis prevention. J Allergy Clin Immunol. 2014;134(4):818–823.
   PubMed Web of Science ®Google Scholar
• Telofski LS, Capone KA, Friscia D, Nikolovski J. Effects of Emollient Use on the Developing Infant Skin Microbiome. Pediatrics. 2020;146(1_MeetingAbstract):128.
   Google Scholar
• Zhong Y, Samuel M, van Bever H, Tham EH. Emollients in infancy to prevent atopic dermatitis: a systematic review and meta‐analysis. Allergy. 2022;77(6):1685–1699.
   PubMed Web of Science ®Google Scholar
• Chaoimh CN, Lad D, Nico C, et al. Early initiation of short‐term emollient use for the prevention of atopic dermatitis in high‐risk infants—The STOP‐AD randomised controlled trial. Allergy. 2022.
   Web of Science ®Google Scholar
• Rawlings AV, Lombard KJ. A review on the extensive skin benefits of mineral oil. Int J Cosmet Sci. 2012;34(6):511–518.
   PubMed Web of Science ®Google Scholar
• World Health Organization. Essential Newborn Nursing. WHO-CC for Training and Research in Newborn Care, All India Institute of Medical Sciences, New Delhi, India; 2013. Available from: https://www.newbornwhocc.org/essential.html#:~:text=Nurses%20play%20critical%20roles%20in,birth%20weight%20neonate%20in%20Kangaroo. Accessed February 26, 2021.
   Google Scholar
• Blume-Peytavi U, Hauser M, Stamatas GN, Pathirana D, Garcia Bartels N. Skin care practices for newborns and infants: review of the clinical evidence for best practices. Pediatr Dermatol. 2012;29(1):1–14.
   PubMed Web of Science ®Google Scholar
• Khalifian S, Golden WC, Cohen BA. Skin care practices in newborn nurseries and mother-baby units in Maryland. J Perinatol. 2017;37(6):615–621.
   PubMed Web of Science ®Google Scholar
• Visscher MO, Narendran V, Pickens WL, et al. Vernix caseosa in neonatal adaptation. J Perinatol. 2005;25(7):440–446.
   PubMedGoogle Scholar
• Adejuyigbe EA, Bee MH, Amare Y, et al. ”Why not bathe the baby today?”: a qualitative study of thermal care beliefs and practices in four African sites. BMC Pediatr. 2015;15:156.
   PubMed Web of Science ®Google Scholar
• Lund C. Bathing and Beyond: current Bathing Controversies for Newborn Infants. Adv Neonatal Care. 2016;16:S13–S20.
   PubMed Web of Science ®Google Scholar
• Kuller JM. Update on newborn bathing. Newborn Infant Nurs Rev. 2014;14(4):166–170.
   Google Scholar
• Kelly PA, Classen KA, Crandall CG, et al. Effect of Timing of the First Bath on a Healthy Newborn’s Temperature. J Obstet Gynecol Neonatal Nurs. 2018;47(5):608–619.
   PubMed Web of Science ®Google Scholar
• Behring A, Vezeau TM, Fink R. Timing of the newborn first bath: a replication. Neonatal Netw. 2003;22(1):39–46.
   PubMedGoogle Scholar
• Varda KE, Behnke RS. The effect of timing of initial bath on newborn’s temperature. J Obstet Gynecol Neonatal Nurs. 2000;29(1):27–32.
   PubMedGoogle Scholar
• Alizadeh TP, Fakhraee H, Sotoudeh K. Effect of early bathing on temperature of normal newborn infants. Iranian J Publ Health. 2007;36(2):82–86.
   Web of Science ®Google Scholar
• Penny-MacGillivray T. A newborn’s first bath: when? J Obstet Gynecol Neonatal Nurs. 1996;25(6):481–487.
   PubMedGoogle Scholar
• Bergstrom A, Byaruhanga R, Okong P. The impact of newborn bathing on the prevalence of neonatal hypothermia in Uganda: a randomized, controlled trial. Acta Paediatr. 2005;94(10):1462–1467.
   PubMed Web of Science ®Google Scholar
• Nako Y, Harigaya A, Tomomasa T, et al. Effects of bathing immediately after birth on early neonatal adaptation and morbidity: a prospective randomized comparative study. Pediatr Int. 2000;42(5):517–522.
   PubMed Web of Science ®Google Scholar
• Sobel HL, Silvestre MA, Mantaring JB 3rd, Oliveros YE, Nyunt US. Immediate newborn care practices delay thermoregulation and breastfeeding initiation. Acta Paediatr. 2011;100(8):1127–1133.
   PubMed Web of Science ®Google Scholar
• Gozen D, Caka SY, Besirik SA, Perk Y. First bathing time of newborn infants after birth: a comparative analysis. J Spec Pediatr Nurs. 2019;24(2):e12239.
   PubMed Web of Science ®Google Scholar
• Brogan J, Rapkin G. Implementing Evidence-Based Neonatal Skin Care With Parent-Performed, Delayed Immersion Baths. Nurs Womens Health. 2017;21(6):442–450.
   PubMedGoogle Scholar
• Chamberlain J, McCarty S, Sorce J, et al. Impact on delayed newborn bathing on exclusive breastfeeding rates, glucose and temperature stability, and weight loss. J Neonatal Nurs. 2019;25(2):74–77.
   Google Scholar
• Preer G, Pisegna JM, Cook JT, Henri AM, Philipp BL. Delaying the bath and in-hospital breastfeeding rates. Breastfeed Med. 2013;8(6):485–490.
   PubMed Web of Science ®Google Scholar
• Crenshaw JT. Healthy Birth Practice #6: keep Mother and Baby Together- It’s Best for Mother, Baby, and Breastfeeding. J Perinat Educ. 2014;23(4):211–217.
   PubMedGoogle Scholar
• Colwell A. To Bathe or Not to Bathe: the Neonatal Question. Neonatal Netw. 2015;34(4):216–219.
   PubMedGoogle Scholar
• Dhar S. Newborn skin care revisited. Indian J Dermatol. 2007;52(1):1.
   Google Scholar
• Sarkar R, Basu S, Agrawal RK, Gupta P. Skin care for the newborn. Indian Pediatr. 2010;47(7):593–598.
   PubMed Web of Science ®Google Scholar
• Gunnarsson M, Mojumdar EH, Topgaard D, Sparr E. Extraction of natural moisturizing factor from the stratum corneum and its implication on skin molecular mobility. J Colloid Interface Sci. 2021;604:480–491.
   PubMed Web of Science ®Google Scholar
• Caka SY, Gozen D. Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. J Spec Pediatr Nurs. 2018;23(1):54.
   Web of Science ®Google Scholar
• Cinar N, Yalnizoglu Caka S, Uslu Yuvaci H. Effect of newborn bathing training with the swaddled and tub bathing methods given to primiparous pregnant women on the mother’s experience, satisfaction and newborn’s stress during the first bathing of the newborn at home: a mixed method study. Jpn J Nurs Sci. 2020;17(4):e12363.
   PubMed Web of Science ®Google Scholar
• Sailer MSN Splish Splash Swaddle Bath (Delayed Swaddle Immersion Bath). Poster presented at Academy of Neonatal Nursing Fall Conference New Orleans, LA. 2018; New Orleans, LA.
   Google Scholar
• Edraki M, Paran M, Montaseri S, Razavi Nejad M, Montaseri Z. Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: a randomized clinical trial. J Caring Sci. 2014;3(2):83–91.
   PubMedGoogle Scholar
• Fern D, Graves C, L’Huillier M. Swaddled bathing in the newborn intensive care unit. Newborn Infant Nurs Rev. 2002;1(2):3–4.
   Google Scholar
• Gaddam S, Nandhini P, R PJ, Kanchana S, Celina D. Relative Effectiveness of Swaddle Bath and Conventional Bath on Level of Thermal Stability and Crying Duration among Preterm Infants at Selected Hospital in North India. ICCR-JNR. 2017;2(1):34–54.
   Google Scholar
• Dizon MV, Galzote C, Estanislao R, Mathew N, Sarkar R. Tolerance of baby cleansers in infants: a randomized controlled trial. Indian Pediatr. 2010;47(11):959–963.
   PubMed Web of Science ®Google Scholar
• Lavender T, Bedwell C, Roberts SA, et al. Randomized, controlled trial evaluating a baby wash product on skin barrier function in healthy, term neonates. J Obstet Gynecol Neonatal Nurs. 2013;42(2):203–214.
   PubMed Web of Science ®Google Scholar
• Cooke A, Bedwell C, Campbell M, McGowan L, Ersser SJ, Lavender T. Skin care for healthy babies at term: a systematic review of the evidence. Midwifery. 2018;56:29–43.
   PubMed Web of Science ®Google Scholar
• Lund CH, Osborne JW, Kuller J, Lane AT, Lott JW, Raines DA. Neonatal skin care: clinical outcomes of the AWHONN/NANN evidence-based clinical practice guideline. Association of Women’s Health, Obstetric and Neonatal Nurses and the National Association of Neonatal Nurses J Obstet Gynecol Neonatal Nurs. 2001;30(1):41–51.
   Google Scholar
• Dolack M, Huffines B, Stikes R, Hayes P, Logsdon MC. Updated neonatal skin risk assessment scale (NSRAS). Ky Nurse. 2013;61(4):6.
   PubMedGoogle Scholar
• Visscher M. A practical method for rapid measurement of skin condition. Newborn Infant Nursing Rev. 2014;14(4):147–152.
   Google Scholar
• McConnell TP, Lee CW, Couillard M, Sherrill WW. Trends in umbilical cord care: scientific evidence for practice. Newborn Infant Nurs Rev. 2004;4(4):211–222.
   Google Scholar
• Heimall LM, Storey B, Stellar JJ, Davis KF. Beginning at the bottom: evidence-based care of diaper dermatitis. MCN Am J Matern Child Nurs. 2012;37(1):10–16.
   PubMed Web of Science ®Google Scholar
• Ferber SG, Laudon M, Kuint J, Weller A, Zisapel N. Massage therapy by mothers enhances the adjustment of circadian rhythms to the nocturnal period in full-term infants. J Dev Behav Pediatr. 2002;23(6):410–415.
   PubMed Web of Science ®Google Scholar
• Field T. Massage therapy research review. Complement Ther Clin Pract. 2016;24:19–31.
   PubMed Web of Science ®Google Scholar
• Garg BD, Kabra NS, Balasubramanian H. Role of massage therapy on reduction of neonatal hyperbilirubinemia in term and preterm neonates: a review of clinical trials. J Matern Fetal Neonatal Med. 2019;32(2):301–309.
   PubMed Web of Science ®Google Scholar
• Juneau AL, Aita M, Heon M. Review and Critical Analysis of Massage Studies for Term and Preterm Infants. Neonatal Netw. 2015;34(3):165–177.
   PubMed Web of Science ®Google Scholar
• Lee HK. The effects of infant massage on weight, height, and mother-infant interaction. Taehan Kanho Hakhoe Chi. 2006;36(8):1331–1339.
   PubMedGoogle Scholar
• Underdown A, Barlow J, Chung V, Stewart-Brown S. Massage intervention for promoting mental and physical health in infants aged under six months. Cochrane Database Syst Rev. 2006;1(4):CD005038.
   Google Scholar
• Underdown A, Barlow J, Stewart‐Brown S. Tactile stimulation in physically healthy infants: results of a systematic review. J Reproductive Infant Psychol. 2010;28(1):11–29.
   Web of Science ®Google Scholar
• Agarwal KN, Gupta A, Pushkarna R, Bhargava SK, Faridi MM, Prabhu MK. Effects of massage & use of oil on growth, blood flow & sleep pattern in infants. Indian J Med Res. 2000;112:212–217.
   PubMed Web of Science ®Google Scholar
• Sankaranarayanan K, Mondkar JA, Chauhan MM, Mascarenhas BM, Mainkar AR, Salvi RY. Oil massage in neonates: an open randomized controlled study of coconut versus mineral oil. Indian Pediatr. 2005;42(9):877–884.
   PubMed Web of Science ®Google Scholar
• White-Traut RC, Rankin KM, Yoder JC, et al. Influence of H-HOPE intervention for premature infants on growth, feeding progression and length of stay during initial hospitalization. J Perinatol. 2015;35(8):636–641.
   PubMed Web of Science ®Google Scholar
• White-Traut RC, Schwertz D, McFarlin B, Kogan J. Salivary cortisol and behavioral state responses of healthy newborn infants to tactile-only and multisensory interventions. J Obstet Gynecol Neonatal Nurs. 2009;38(1):22–34.
   PubMed Web of Science ®Google Scholar
• Tiffany-Castiglioni E, Barhoumi R, Mouneimne Y. Kohl and surma eye cosmetics as significant sources of lead (Pb) exposure. J Local Global Health Sci. 2012;2012(1):1.
   Google Scholar
• Blume-Peytavi U, Cork MJ, Faergemann J, Szczapa J, Vanaclocha F, Gelmetti C. Bathing and cleansing in newborns from day 1 to first year of life: recommendations from a European round table meeting. J Eur Acad Dermatol Venereol. 2009;23(7):751–759.
   PubMed Web of Science ®Google Scholar
• Gfatter R, Hackl P, Braun F. Effects of soap and detergents on skin surface pH, stratum corneum hydration and fat content in infants. Dermatology. 1997;195(3):258–262.
   PubMed Web of Science ®Google Scholar
• Ananthapadmanabhan KP, Moore DJ, Subramanyan K, Misra M, Meyer F. Cleansing without compromise: the impact of cleansers on the skin barrier and the technology of mild cleansing. Dermatol Ther. 2004;17 Suppl 1:16–25.
   PubMedGoogle Scholar
• Kuller JM. Infant Skin Care Products: what Are the Issues? Adv Neonatal Care. 2016;16:S3–S12.
   PubMed Web of Science ®Google Scholar
• Walters RM, Mao G, Gunn ET, Hornby S. Cleansing formulations that respect skin barrier integrity. Dermatol Res Pract. 2012;2012:495917.
   PubMedGoogle Scholar
• Anwar SS, Kerriou H, Pragatheeswaran AM, et al. 18684 A scoring method to assess the gentleness of cleansers. J Am Acad Dermatol. 2020;83(6):AB104.
   Web of Science ®Google Scholar
• Walters RM, Anim-Danso E, Amato SM, et al. Hard water softening effect of a baby cleanser. Clin Cosmet Investig Dermatol. 2016;9:339–345.
   PubMedGoogle Scholar
• Siri SD, Jain V. Infant’s skin and care needs with special consideration to formulation additives. Asian J Pharm Clin Res. 2018;11(12):75–81.
   Google Scholar
• Purnamawati S, Indrastuti N, Danarti R, Saefudin T. The Role of Moisturizers in Addressing Various Kinds of Dermatitis: a Review. Clin Med Res. 2017;15(3–4):75–87.
   PubMed Web of Science ®Google Scholar
• Danby SG, AlEnezi T, Sultan A, et al. Effect of olive and sunflower seed oil on the adult skin barrier: implications for neonatal skin care. Pediatr Dermatol. 2013;30(1):42–50.
   PubMed Web of Science ®Google Scholar
• Dhar S, Banerjee R, Malakar R. Oil massage in babies: Indian perspectives. Indian J Paediatr Dermatol. 2013;14(1):1.
   Google Scholar
• Konar MC, Islam K, Roy A, Ghosh T. Effect of Virgin Coconut Oil Application on the Skin of Preterm Newborns: a Randomized Controlled Trial. J Trop Pediatr. 2020;66(2):129–135. doi:10.1093/tropej/fmz041
   PubMed Web of Science ®Google Scholar
• Ahmed AS, Saha SK, Chowdhury MA, et al. Acceptability of massage with skin barrier-enhancing emollients in young neonates in Bangladesh. J Health Popul Nutr. 2007;25(2):236–240.
   PubMed Web of Science ®Google Scholar
• Kumar A, Mishra S, Singh S, et al. Effect of sunflower seed oil emollient therapy on newborn infant survival in Uttar Pradesh, India: a community-based, cluster randomized, open-label controlled trial. PLoS Med. 2021;18(9):e1003680.
   PubMed Web of Science ®Google Scholar