The Effect of Newborn's First Bath Time on Physiological Variables
Condition: Baths
Study type: Interventional

Summary: 
      The aim of this study is to examine the effect of the first bath timing after birth on the
      physiological variables of the newborn and to determine the correct bath time.

        1. H₁: There is a difference in the effect of bathing preterm newborns after 24 hours or 48
           hours on the peak heart rate.

        2. H2: There is a difference in the effect of bathing early term newborns after 24 hours or
           48 hours on the peak heart rate.

        3. H3: There is a difference in the effect of bathing preterm newborns after 24 hours or 48
           hours on their respiratory rate.

        4. H4: There is a difference in the effect of bathing early term newborns after 24 hours or
           48 hours on their respiratory rate.

        5. H5: There is a difference in the effect of baths given to preterm newborns after 24
           hours or 48 hours on body temperature.

        6. H6: There is a difference in the effect of baths given to early term newborns after 24
           hours or after 48 hours on body temperature.

        7. H7: There is a difference in the effect of baths given to preterm newborns after 24
           hours or 48 hours on oxygen saturation.

        8. H8: There is a difference in the effect of baths given to early term newborns after 24
           hours or after 48 hours on oxygen saturation.
    

Detailed description: 
      The aim of this study is to examine the effect of the first bath timing after birth on the
      physiological variables of the newborn and to determine the correct bath time. The research
      is a single-center, prospective parallel group randomized controlled experimental design
      study. The research was conducted with a total of 120 babies, 60 preterm babies and 60 early
      term babies, who received inpatient care and treatment in the neonatal intensive care unit
      between October 2022 and November 2023. Depending on randomization, newborns were bathed
      within 24 hours or 48 hours after birth. Physiological measurements of newborns were
      evaluated before application. Measurements were repeated after application, 10 minutes after
      application and 60 minutes after application. In the study, it was collected with the Baby
      Information Form and Physiological Variables Monitoring Form. Data were analyzed using
      chi-square, mean, percentage distributions, dependent groups t-test for comparison of
      intra-group measurements, repeated measures anova test, and independent groups t-test for
      comparison of quantitative continuous data. In the preterm group, the pre-bath respiration,
      body temperature and oxygen saturation values of newborns bathed within 48 hours were found
      to be significantly lower than those of newborns bathed within 24 hours in post-bath
      measurements (p<0.05). In the early term group, it was found that the pre-bath heart rate
      peak values of newborns bathed within 48 hours were significantly lower than those of
      newborns bathed within 24 hours in post-bath measurements (p<0.05).
    

Intervention name(s): Preterm group bathing 24 hours after birth.; Preterm group bathing 48 hours after birth.; Early term group bathing 24 hours after birth.; Early term group bathing 48 hours after birth.
Intervention type(s): Other; Other; Other; Other
Intervention description(s): Preterm (between 32 0/7 and 36 6/7 weeks) babies (n=30) were bathed in the form of a shower 24 hours after birth. Before the bath, after the bath, 10 minutes after the bath and 60 minutes after the bath, heart rate, body temperature, respiratory rate, oxygen saturation value, and skin color were evaluated.; Preterm (between 32 0/7 and 36 6/7 weeks) babies (n=30) were bathed in the form of a shower 48 hours after birth. Before the bath, after the bath, 10 minutes after the bath and 60 minutes after the bath, heart rate, body temperature, respiratory rate, oxygen saturation value, and skin color were evaluated.; Early term (between 37 0/7 and 38 6/7 weeks) babies (n=30) were bathed in the form of a shower 24 hours after birth. Before the bath, after the bath, 10 minutes after the bath and 60 minutes after the bath, heart rate, body temperature, respiratory rate, oxygen saturation value, and skin color were evaluated.; Early term (between 37 0/7 and 38 6/7 weeks) babies (n=30) were bathed in the form of a shower 48 hours after birth. Before the bath, after the bath, 10 minutes after the bath and 60 minutes after the bath, heart rate, body temperature, respiratory rate, oxygen saturation value, and skin color were evaluated.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: infant, intensive care unit, baths, touch