Abstract
Background: Bathing is a daily activity that aims at cleaning and protecting the outer covering of the body. This procedure stands out for presenting a high level of manipulation, and may interfere with the NB’s physiological and behavioral reactions, but when performed in a humanized way, like a bucket bath, it seeks to minimize the deleterious effects on these systems. The present study aims to evaluate the infant’s behavior in the bucket and shower bath. Methods: This is a randomized controlled trial, blind with healthy newborns allocated to bucket bath or shower bath group. During the bucket bath, newborns were wrapped in a towel and the body was semi-inflected and moved lightly and slowly in the water. For the shower bath, the same technique routinely adopted by the team was performed. Results: A total of 198 newborns were assessed. Shower bath increases the pain (x286.12; p<0.001) and when assessed during the shower, increased by 57% [RR=1.57(95%CI:1.47-1.68) and after, increased by 34% [RR=1.34(95%CI:1.23-1.46)]. Although both bath types have altered the behavioral state (x21.99;p=0.15), instances of crying are four times more significant during the shower bath (x233.01;p<0.001). Conclusions: Bathing in the bucket changes positively the newborn’s behavioral state, as well as protects the baby from pain, when compared to the shower bath. Trial registration: ReBEC number: RBR-4z26f3Background: Bathing is a daily activity that aims at cleaning and protecting the outer covering of the body. This procedure stands out for presenting a high level of manipulation, and may interfere with the NB’s physiological and behavioral reactions, but when performed in a humanized way, like a bucket bath, it seeks to minimize the deleterious effects on these systems. The present study aims to evaluate the infant’s behavior in the bucket and shower bath. Methods: This is a randomized controlled trial, blind with healthy newborns allocated to bucket bath or shower bath group. During the bucket bath, newborns were wrapped in a towel and the body was semi-inflected and moved lightly and slowly in the water. For the shower bath, the same technique routinely adopted by the team was performed. Results: A total of 198 newborns were assessed. Shower bath increases the pain (x286.12; p<0.001) and when assessed during the shower, increased by 57% [RR=1.57(95%CI:1.47-1.68) and after, increased by 34% [RR=1.34(95%CI:1.23-1.46)]. Although both bath types have altered the behavioral state (x21.99;p=0.15), instances of crying are four times more significant during the shower bath (x233.01;p<0.001). Conclusions: Bathing in the bucket changes positively the newborn’s behavioral state, as well as protects the baby from pain, when compared to the shower bath. Trial registration: ReBEC number: RBR-4z26f3
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