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Evidence-Based Consensus Recommendations for Skin Care in Healthy, Full-Term Neonates in India.
Piyush Gupta1, Karthik Nagesh2, Pankaj Garg3
1Department of Pediatrics, University College of Medical Sciences, New Delhi, India.
Standardize neonatal skin care with evidence-based guidelines for hospital settings. Recommendations cover bathing, cleansers, and emollients to improve infant skin health and outcomes.
Area of Science:
- Neonatal dermatology
- Evidence-based medicine
- Pediatric nursing
Background:
- Neonatal skin care practices vary significantly between hospitals.
- Lack of standardized protocols can impact infant skin health.
- Personal experience often dictates current practices.
Purpose of the Study:
- To provide evidence-based clinical practice guidance for neonatal skin care.
- To standardize skin care protocols from delivery to discharge in hospital settings.
- To establish consensus recommendations for healthcare practitioners.
Main Methods:
- Convened a Scientific Advisory Board with multidisciplinary experts.
- Conducted a comprehensive literature search up to March 2021.
- Developed recommendations on key neonatal skin care aspects.
Main Results:
- Recommendations cover cleansing, skin-to-skin care, cord care, bathing, and product use.
- First bath recommended 6-24 hours post-stabilization; water or mild cleansers are suitable.
- Emollients recommended for eczema prevention; skin assessment and discharge advice are crucial.
Conclusions:
- Standardized, evidence-based neonatal skin care can improve care quality.
- Recommendations aim to enhance overall neonatal health outcomes in Indian hospitals.
- Highlighted the need for quality control and transparent labeling of baby products.
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