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Does your baby really need a bath right after birth?

posted 15th Oct
I was just reading an article on vernix, and didn't realize just how awesome it was.


which is awesome because my baby had SO MUCH vernix lol. And we didn't do a newborn bath just because I had heard it was good for the skin. But didn't realize just how awesome it was



http://www.birthresourcenetwork.org/resources/89-does-your-baby-really-need-a-bath



Does your newborn really need a bath?


Study shows why to avoid artificial rupture of your membranes and the importance of not bathing your new baby right after birth.

Often called “Natures Cold Cream” vernix, the white creamy stuff most babies are born with, and amniotic fluid have similar immune enhancing properties as breast milk. We have known for a long time that t
he immunologic properties of breast milk are what truly set it apart from any other form of infant sustenance. The body of a newborn baby is very vulnerable and it does not have inborn defense mechanisms to protect itself from the environment outside of the womb.
This study shows that the extremely popular procedure of “artificial rupturing of membranes” can take away the amniotic fluid's protective capability. This also holds true for bathing your baby in the first 24 hours after birth and not allowing the vernix to be absorbed into the baby’s skin.
Source: Pubmed central.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1595247
ANTIMICROBIAL PROPERTIES OF AMNIOTIC FLUID AND VERNIX CASEOSA ARE SIMILAR TO THOSE FOUND IN BREAST MILK
  • Akinbi, H. T., Narendran, V., Pass, A. K., Markart, P., & Hoath, S. B. (2004). Host defense proteins in vernix caseosa and amniotic fluid. American Journal of Obstetrics and Gynecology, 191(6), 2090–2096.


Summary


In this study, researchers analyzed samples of amniotic fluid and vernix caseosa (vernix) from healthy, term gestations to determine the immune properties of these substances. Participants were pregnant women admitted for elective cesarean section after 37 weeks gestation with no prior labor and no signs of chorioamnionitis (intrauterine infection). Women with a history of prenatal fever or premature rupture of membranes, or who received steroids prenatally or antibiotics while giving birth were excluded, as were women whose babies passed meconium in utero, had congenital malformations, or required prolonged resuscitation after birth. Amniotic fluid was obtained by amniocentesis to determine fetal lung maturity prior to elective birth. Vernix was gently scraped from the newborn's skin with a sterile implement immediately following birth. The researchers obtained 10 samples of amniotic fluid and 25 samples of vernix.
Tests (Western analysis and immunochemistry) revealed that lysozyme, lactoferrin, human neutrophil peptides 1–3, and secretory leukocyte protease inhibitor were present in the amniotic fluid samples and in organized granules embedded in the vernix samples. These immune substances were tested using antimicrobial growth inhibition assays and found to be effective in inhibiting the growth of common perinatal pathogens, including group B. Streptococcus, K. pneumoniae, L. monocytogenes, C. albicans, and E. coli.
The authors point out that the innate immune proteins found in vernix and amniotic fluid are similar to those found in breast milk. As the baby prepares for extrauterine life, pulmonary surfactant (a substance produced by the maturing fetal lungs) increases in the amniotic fluid, resulting in the detachment of vernix from the skin. The vernix mixes with the amniotic fluid and is swallowed by the growing fetus. Given the antimicrobial properties of this mixture, the authors conclude that there is “considerable functional and structural synergism between the prenatal biology of vernix caseosa and the postnatal biology of breast milk” (p. 2095). They also suggest that better understanding of these innate host defenses may prove useful in preventing and treating intrauterine infection.
Significance for Normal Birth
Routine artificial rupture of membranes increases the likelihood of intrauterine infection because it eliminates the physical barrier (the amniotic sac) between the baby and the mother's vaginal flora. This study suggests an additional mechanism for the prevention of infection when the membranes remain intact: A baby bathed in amniotic fluid benefits from antimicrobial proteins that are found in the fluid and in vernix caseosa.
The results of this study also call into question the routine use of some newborn procedures. Early bathing of the baby removes vernix, which contains antimicrobial proteins that are active against group B. streptococcus and E. coli. Delaying the bath and keeping the newborn together with his or her mother until breastfeeding is established may prevent some cases of devastating infections caused by these bacteria. The fact that preterm babies tend to have more vernix than babies born at or after 40 weeks might mean that healthy, stable preterm babies derive even greater benefit from staying with their mothers during the immediate newborn period.
Finally, this study illustrates how the normal physiology of pregnancy and fetal development is part of a continuum that extends beyond birth to the newborn period. The immunologic similarities between amniotic fluid, vernix, and breast milk provide further evidence that successful initiation of breastfeeding is a critical part of the process of normal birth.
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posted 15th Oct
No. It's better to be rubbed into their skin than to lather them up with soap and whatnot. Liam wasn't bathed until he was a little over a week old - maybe two. His skin was so perfect.

ETA: The birthing center I delivered at never bathes the newborns, so that wouldn't have been an option even if I wanted them to.
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I have 1 child & live in Kansas City, Missouri
posted 15th Oct
I had heard that too. My baby was rinsed only in water but I regret even that.
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I have 1 child & 1 angel baby & live in Alabama
posted 15th Oct
My daughter didn't have a bath until the next day. The doctor basically just wiped her off, slid a diaper on & gave her to me.  
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I have 2 kids & 1 angel baby & live in Maine
posted 15th Oct
humm! thats very interesting! i think i may bypass this babies first bath, im having a home birth so im sure my midwife would be ok with it.
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I have 5 kids & live in California
posted 15th Oct
My daughter didn't have a "bath" till two weeks. I would dab her off and rub her down with coconut oil. I only bathe my newborns about once a week anyways. Not great for their skin to take to many baths. The coconut oil baths leave them smelling great!.
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posted 15th Oct
I wanted to skip the bath but there was meconium in my waters and he was born covered in poo, and a NICU nurse had to come examine him and give him a bath, but they at least waited until after I had 45 minutes to hold him and nurse.
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I have 2 kids & live in Hillsboro, Oregon
posted 15th Oct
We were told not to bathe them until at least day three to keep the vernix on.

Kewl reading
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I have 2 kids & live in New Zealand
posted 15th Oct
I don't remember when my daughter had her first bath. She barely had vernix on her.
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I have 2 kids & live in Cold Lake, Alberta
posted 15th Oct
I was so angry, a nurse gave my son his first bath when I was sleeping!  
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I have 2 kids & 1 angel baby & live in Michigan
posted 15th Oct
My boys were both nearly 2 weeks old when they had their first bath.  
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I have 3 kids & live in Killeen, Texas
posted 15th Oct
so did you kind of just wipe it in?
i wanna not give little dude a bath but i'm not sure how to get him somewhat clean.
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I have 2 kids & live in Leadville, Colorado
posted 15th Oct
Quoting zombie.:" so did you kind of just wipe it in? i wanna not give little dude a bath but i'm not sure how to get him somewhat clean. "

Rub it in like lotion!
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I have 3 kids & live in Killeen, Texas
posted 15th Oct
The only reason we got into the bath was so I could get him to latch better. Then after giving birth I just needed somewhere comfortable to sit and there happened to be a nice warm spot in the tub next to me lol. Didn't really "wash" him or bathe him though. Just got him wet. He didn't really have vernix though.

Daughter had a lot of vernix and I let them bathe her at the hospital. I regret it :-( I didn't really know much back then though.

I wish I knew then what I know now! Now I know that baby shampoos/soaps can cause false-positives in drug testing. Luckily for me it didn't!
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I live in Colorado
posted 15th Oct
Quoting ♥ darah ♥:" The only reason we got into the bath was so I could get him to latch better. Then after giving birth ... [snip!] ... then what I know now! Now I know that baby shampoos/soaps can cause false-positives in drug testing. Luckily for me it didn't!"
the vernix sits in amniotic fluid for 9 months, i doubt the bath washed it off lol. Its not like you scrubbed him.
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