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The Influence of the First Bath on Breastfeeding Initiation in Newborns

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This article discusses the benefits of delayed bath of the newborn on breastfeeding. Continue reading to learn more about it.

Written by

Dr. Surabhi M

Medically reviewed by

Dr. Sugreev Singh

Published At December 26, 2023
Reviewed AtDecember 26, 2023

Introduction

Breastfeeding is widely recognized as the optimal form of infant nutrition, providing numerous health benefits for both the newborn and the mother. The first hours and days after birth are crucial for establishing successful breastfeeding, as this is when the infant's natural instincts for feeding are at their peak. One factor that has gained attention in recent years is the timing of the first bath and its potential impact on breastfeeding initiation. Traditionally, it was common for hospitals to give newborns their first bath shortly after birth, which could sometimes interfere with the initiation of breastfeeding. To encourage nursing and mother-infant bonding, there has been a shift towards delaying the newborn bath. Research suggests that delaying a newborn's first bath in the hospital can have a positive impact on breastfeeding success. Several studies have examined the relationship between delayed bathing and breastfeeding initiation, and they have found some consistent benefits.

How Does the Newborn’s First Bath Impact Breastfeeding?

Breastfeeding initiation, which refers to the start of the breastfeeding process, is a critical aspect of early infant care. When a newborn is placed skin-to-skin with their mother immediately after birth, they are more likely to instinctively seek out the breast and begin breastfeeding. This early contact stimulates the release of hormones, such as oxytocin, which help establish the mother's milk supply and strengthen the mother-infant bond.

1. Skin-to-Skin Contact: Delaying the bath allows for prolonged skin-to-skin contact between the mother and newborn, which has several benefits. Skin-to-skin contact helps regulate the baby's body temperature, stabilizes heart rate and breathing, and promotes bonding. It also stimulates the release of oxytocin, a hormone that plays a role in breastfeeding initiation and milk production.

2. Scent Recognition: A newborn has a keen sense of smell and can recognize their mother's scent. Delaying the bath allows the baby to become familiar with the mother's natural scent, which may help in establishing breastfeeding. The smell of the amniotic fluid and the mother's breast milk can serve as cues for the baby to latch and breastfeed.

3. Colostrum: The first milk produced by the mother is called colostrum, and it is highly beneficial for the baby. Colostrum is rich in nutrients and antibodies that provide immune protection to the newborn. Delaying the bath allows the baby to have unrestricted access to the breast and receive the colostrum, which supports their health and immunity.

4. Feeding Cues: Immediate skin-to-skin contact and delayed bathing can help the mother recognize her baby's early feeding cues, such as rooting or licking their lips. These cues indicate that the baby is ready to breastfeed. By responding promptly to these cues, mothers can establish early breastfeeding, which is crucial for milk production and establishing a good latch.

5. Temperature Regulation: Babies are born with an immature thermoregulatory system and can lose body heat rapidly. Delaying the bath helps the baby stay warm by utilizing the mother's body heat during skin-to-skin contact. This can prevent cold stress and help the baby conserve energy, which is essential for successful breastfeeding.

What Is the Ideal Time for a First Bath for a Newborn?

The ideal time for a newborn's first bath is a matter of personal preference and cultural practices. There is no strict consensus on the exact timing, and different healthcare providers and institutions may have varying recommendations. There is a growing trend these days to delay the first bath for several hours or even days after birth to promote breastfeeding and bonding.

Here are a few common approaches to the timing of a newborn's first bath:

  • Immediate Bathing: In some hospitals or cultural traditions, it is common to give the baby their first bath shortly after birth, often within the first few hours. This practice has been followed for many years but is now being reconsidered due to the potential benefits of delayed bathing.

  • Delayed Bathing: Delaying the first bath for several hours or until the next day has gained popularity in recent years. This approach allows for more uninterrupted skin-to-skin contact between the baby and mother, promoting bonding and initiating breastfeeding. The delay can range from a few hours to 24 hours or even longer, depending on the preferences of the parents and the healthcare provider's recommendations.

  • Baby-led Bathing: Some parents choose to follow a "baby-led" approach to bathing, where the first bath is postponed until the baby shows signs of being ready. This might include waiting until the baby's umbilical cord stump falls off or until they start showing interest in bath time. This approach is based on the belief that babies naturally regulate their body temperature and do not necessarily require immediate bathing.

The choice of when to give the baby his or her first bath should ultimately be based on the parents' preferences, cultural customs, and consultations with medical professionals. Taking care of the infant's needs, encouraging breastfeeding, and fostering a strong parent-child relationship are the most crucial aspects.

How Long Can a Newborn Go Without First Bath?

Newborns can go without their first bath for several hours or even days after birth without any negative effects on their health or hygiene. Delaying the first bath for a time is becoming increasingly common and is supported by research highlighting the benefits of delayed bathing for newborns. Some parents and healthcare providers choose to delay the first bath for 24 hours or longer to maximize the benefits associated with delayed bathing. While delaying the first bath, regular cleaning of the baby's diaper area, face, and neck should still be done to maintain hygiene. Sponge baths or gentle wipe-downs can help keep the baby clean in the absence of a full bath.

Conclusion

Delaying a newborn's first bath in the hospital can have a positive impact on breastfeeding success. Research suggests that by allowing for prolonged skin-to-skin contact, recognizing breastfeeding cues, facilitating colostrum consumption, stabilizing body temperature, and enhancing maternal confidence, delaying the bath can support the initiation and establishment of breastfeeding. It promotes bonding between the mother and baby, facilitates responsive breastfeeding, and ensures that the baby receives the important benefits of colostrum. Furthermore, although delaying the bath may be helpful, it is not the only element affecting the success of breastfeeding, therefore, it is crucial for mothers to continue receiving support, information, and resources.

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Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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