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Changes in infant disposable diaper weights at selected intervals post-wetting.

Joan Carlisle1, Amanda Moore, Alyssa Cooper

  • 1Children's of Alabama, Birmingham, AL, USA.

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Weighing infant diapers after voiding is appropriate after eight hours. Small, clinically insignificant weight changes occur over time, allowing for efficient nursing practices.

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Area of Science:

  • Pediatric Nursing
  • Clinical Practice Research
  • Fluid Management Assessment

Background:

  • Pediatric acute care nurses questioned the validity of immediate post-voiding infant diaper weighing.
  • Current practices may lead to unnecessary interruptions in patient care.

Purpose of the Study:

  • To determine if saline volume, diaper configuration, or diaper size statistically affect changes in diaper weights over time.
  • To assess the clinical significance of weight changes in disposable infant diapers.

Main Methods:

  • An experimental laboratory model was used.
  • Pre-set saline volumes were added to disposable diapers (folded or unfolded).
  • Diapers were weighed immediately and hourly for seven hours, with data analyzed using repeated measures analysis of variance (RMANOVA).

Main Results:

  • Statistically significant changes in diaper weight over time were observed for all conditions.
  • However, these weight changes were small and deemed clinically insignificant.
  • Diaper size did not significantly impact the rate of weight change.

Conclusions:

  • Weighing disposable infant diapers at the end of eight hours is appropriate.
  • This practice does not risk altering subsequent fluid management in non-humidified environments.
  • Delayed weighing allows for more efficient nursing time and fewer patient/family interruptions.