Delaying the First Bath Decreases the Incidence of Neonatal Hypoglycemia

McInerney, Cheryl M; Gupta, Anish

doi:10.1111/1552-6909.12650

Cited by 11 publications

(5 citation statements)

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“…The second intervention, delaying the initial newborn bath for 12 hours was also shown to decrease the rate of hypoglycemia by 50% in high-risk infants in one report [18], and was associated with increased in-hospital exclusive breastfeeding rate along with maternal feeding plan to use human milk after discharge [19].…”

Section: Academic Journal Of Pediatrics and Neonatology Discussionmentioning

confidence: 98%

Oral Dextrose Gel for Neonatal Hypoglycemia and Delayed Newborn Bath’s Effects on the In-Hospital Exclusive Breastfeeding Rate

Alissa¹

2021

AJPN

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Background: World Health Organization recommends exclusive breastfeeding in the first 6 months of an infant's life. Exclusive breastfeeding is the use of human milk as the only food source. Exclusive breastfeeding at the time of infant's discharge from Mother-Baby unit increases the likelihood of exclusive breastfeeding throughout the neonatal period. A recent study demonstrated that the use of oral dextrose gel as first-line treatment for neonatal hypoglycemia stabilized blood glucose and reduced transferring the neonates to specialized units to receive intravenous dextrose. Additionally, delaying the initial newborn bath has been shown to increase the likelihood of exclusive breastfeeding at hospital discharge due to the lack of interruption in breastfeeding initiation and skin-to-skin care.Research Aim: To improve in-hospital exclusive breastfeeding rate by adopting the use of oral dextrose gel for neonatal hypoglycemia and by delaying newborn baths to12 hours of life and beyond. Method:We implemented oral dextrose gel in March 2015 and adopted newborn bath delay to 12 hours of life and beyond in May 2015. Newborns who were exclusively breastfed at discharge from Mother-Baby unit, qualified for the study. We determined the core measure PC-05 (the in-hospital exclusive breastfeeding rate) in the 8 months before and after interventions. Result:The rate of exclusive breastfeeding increased from 20.7% in the 8 months before the first intervention to 32.8% in the 8 months after the second intervention. Conclusion:Implementation of oral dextrose gel for neonatal hypoglycemia and delay initial newborn bath were associated with improving our in-hospital exclusive breastfeeding rate.

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Section: Academic Journal Of Pediatrics and Neonatology Discussionmentioning

confidence: 98%

Oral Dextrose Gel for Neonatal Hypoglycemia and Delayed Newborn Bath’s Effects on the In-Hospital Exclusive Breastfeeding Rate

Alissa¹

2021

AJPN

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“…Lipka and Schulz (2012) found that delaying bathing for 8 hours, regardless of a newborn's gestational age, decreased the incidence of newborns experiencing hypothermia and hypoglycemic events. McInerney and Gupta (2015) found that delaying the first bath for 12 hours decreased rates of hypoglycemia by 50% in highrisk neonates and suggested a similar reduction in hypoglycemia for low-risk neonates.…”

Section: Introductionmentioning

confidence: 90%

“…Although this practice change was not associated with an increase in exclusive breastfeeding rates, there is evidence to suggest that delaying the first bath is a component of the combined practices nurses can promote throughout a hospital stay. There are other potential benefits of delayed bathing, including lower risk for hypothermia and hypoglycemia (Kuller, 2014;Lipka & Schultz, 2012;McInerney & Gupta, 2015).…”

Section: Implications For Practicementioning

confidence: 99%

Delayed Newborn First Bath and Exclusive Breastfeeding Rates

Turney¹,

Lowther²,

Pyka³

et al. 2019

Nursing for Women's Health

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“…Moreover, the BAPM, EFCNI and AUS thoroughly describe all the steps that should be followed to prevent hypothermia of the at-risk neonate, including the use of a hat, the avoidance of cold draughts, the warmth of the ambient temperature and the immediate skin-to-skin contact with the mother, while the CPS suggests that the first bath should be delayed for at-risk infants as it has been found to decrease the incidence of NH [34].…”

Section: Preventionmentioning

confidence: 99%

Diagnosis and Management of Neonatal Hypoglycemia: A Comprehensive Review of Guidelines

et al. 2023

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Hypoglycemia represents one of the most frequent metabolic disturbances of the neonate, associated with increased morbidity and mortality, especially if left untreated or diagnosed after the establishment of brain damage. The aim of this study was to review and compare the recommendations from the most recently published influential guidelines on the diagnosis, screening, prevention and management of this common neonatal complication. Therefore, a descriptive review of the guidelines from the American Academy of Pediatrics (AAP), the British Association of Perinatal Medicine (BAPM), the European Foundation for the Care of the Newborn Infants (EFCNI), the Queensland Clinical Guidelines-Australia (AUS), the Canadian Pediatric Society (CPS) and the Pediatric Endocrine Society (PES) on neonatal hypoglycemia was carried out. There is a consensus among the reviewed guidelines on the risk factors, the clinical signs and symptoms of NH, and the main preventive strategies. Additionally, the importance of early recognition of at-risk infants, timely identification of NH and prompt initiation of treatment in optimizing the outcomes of hypoglycemic neonates are universally highlighted. All medical societies, except PES, recommend screening for NH in asymptomatic high-risk and symptomatic newborn infants, but they do not provide consistent screening approaches. Moreover, the reviewed guidelines point out that the diagnosis of NH should be confirmed by laboratory methods of BGL measurement, although treatment should not be delayed until the results become available. The definition of NH lacks uniformity and it is generally agreed that a single BG value cannot accurately define this clinical entity. Therefore, all medical societies support the use of operational thresholds for the management of NH, although discrepancies exist regarding the recommended cut-off values, the optimal treatment and surveillance strategies of both symptomatic and asymptomatic hypoglycemic neonates as well as the treatment targets. Over the past several decades, ΝH has remained an issue of keen debate as it is a preventable cause of brain injury and neurodevelopmental impairment; however, there is no clear definition or consistent treatment policies. Thus, the establishment of specific diagnostic criteria and uniform protocols for the management of this common biochemical disorder is of paramount importance as it will hopefully allow for the early identification of infants at risk, the establishment of efficient preventive measures, the optimal treatment in the first hours of a neonate’s life and, subsequently, the improvement of neonatal outcomes.

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Delaying the First Bath Decreases the Incidence of Neonatal Hypoglycemia

Cited by 11 publications

References 0 publications

Oral Dextrose Gel for Neonatal Hypoglycemia and Delayed Newborn Bath’s Effects on the In-Hospital Exclusive Breastfeeding Rate

Oral Dextrose Gel for Neonatal Hypoglycemia and Delayed Newborn Bath’s Effects on the In-Hospital Exclusive Breastfeeding Rate

Delayed Newborn First Bath and Exclusive Breastfeeding Rates

Diagnosis and Management of Neonatal Hypoglycemia: A Comprehensive Review of Guidelines

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