Sağlıklı Yenidoğanın Doğum Sonrası Temel Hijyenik Bakım Gereksinimleri

Sağlıklı bir yenidoğanın doğum sonrasında temel bakım gereksinimlerinin karşılanması önemlidir. Bu bakım gereksinimlerinden biri yenidoğanın hijyenik bakımıdır. Literatürde ebeveynlerin doğum sonrası yenidoğanın hijyenik bakımına yönelik bilgi eksikliğinin olduğu ve yanlış uygulamalar yapılabildiği görülmektedir. Bu derleme güncel literatür doğrultusunda doğum sonrası sağlıklı yenidoğanın temel hijyenik bakım gereksinimleri konusunda ebeveynlere ve sağlık çalışanlarına yol göstermek amacıyla hazırlanmıştır.

Anahtar Kelimeler:

yenidoğan, bebek, doğum sonrası bakım, ebeveyn, enfeksiyon, bilgi

Basic Hygienic Care Needs of the Healthy Newborn After Birth

It is important to provide the basic care needs of a healthy newborn after birth. One of these care requirements is the hygienic care of the newborn. In the literature it is observed that there is a lack of knowledge of the parents about the hygienic care of the newborn after birth and inappropriate practices could be done. This review has been prepared in line with the current literature to guide parents and healthcare professionals about the basic hygienic care needs of a healthy newborn after birth.

Keywords:

newborn, baby, postnatal care, parent, infection, knowledge,

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Arıkan D, Çelebioğlu A, Güdücü Tüfekçi F. Çocukluk Dönemlerinde Büyüme ve Gelişme. Pediatri Hemşireliği kitabı (3. Baskı) içinde Ed: Z Conk, Z Başbakkal, H Bal Yılmaz & B Bolışık, Akademisyen Kitabevi, Ankara 2021;53-99
Neonatoloji Hemşireliği Derneği, Bebeğinizin Yenidoğan Yoğun Bakım Ünitesinde ve Evde Bakımı, Ankara 2013. Erişim Adresi: https://neonatolojihemsireligi.org.tr/bebeginizin-yenidogan-yogun-bakim-unitesinde-ve-evde-bakimi/#_Toc375132129. (Erişim Tarihi 2 Şubat 2023).
World Health Organization (WHO). Newborn Mortality. 28 Ocak 2022. Erişim Adresi: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021 (Erişim Tarihi 20 Ocak 2023).
World Health Organization (WHO). WHO Recommendations on Postnatal Care of the Mother and Newborn. Geneva 2013.
National Instıtute For Health And Care Excellence (NICE). Postnatal Care. NICE Guideline. 2021, Erişim Adresi: https://www.nice.org.uk/guidance/ng194/resources/postnatal-care-pdf-66142082148037 (Erişim Tarihi 20 Ocak 2023).
Ertan D, Yılmaz M. Yenidoğan Yoğun Bakım Ünitesinde Tedavi Gören Bebeklerin Annelerinin Sağlık Okuryazarlık Düzeylerinin Evde Bebek Bakım Bilgisi ile İlişkisi. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2021;6:31-38.
Memon J, Holakouie-Naieni K, Majdzadeh R, et al. Knowledge, Attitude, and Practice Among Mothers About Newborn Care in Sindh, Pakistan. BMC pregnancy and childbirth 2019;19:329.
Singh DR, Harvey CM, Bohara P, et al. Factors Associated with Newborn Care Knowledge and Practices in the Upper Himalayas. PloS one 2019;14:e0222582.
Üst Z, Pasinlioğlu T. Primipar ve Multipar Gebelerde Doğum ve Postpartum Döneme İlişkin Endişelerin Belirlenmesi. Sağlık Bilimleri ve Meslekleri Dergisi 2015;2:306-317.
Arabiat DH, Whitehead L, AL Jabery M, TowellBarnard A, Shields L, Abu Sabah E. Traditional Methods for Managing Illness in Newborns and Infants in an Arab Society. International Nursing Review 2019;66:329-337.
Buser JM, Moyer CA, Boyd CJ, et al. Cultural Beliefs and Health-Seeking Practices: Rural Zambians’ Views on Maternal-Newborn Care. Midwifery 2020;85:102686.
Çevik A, Alan S. Doğum Sonu Dönemde Yapılan Geleneksel Uygulamalar. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 2020;10:14-22.
Lubkowska A, Szymanski S, Chudecka M. Surface Body Temperature of Full-Term Healthy Newborns Immediately after Birth—Pilot Study, Int. J. Environ. Res. Public Health 2019;16:1312.
Warren S, Midodzi WK, Allwood Newhook LA, Murphy P, Twells L. Effects of Delayed Newborn Bathing on Breastfeeding, Hypothermia, and Hypoglycemia. Journal of Obstetric, Gynecologic & Neonatal Nursing 2020;49:181-189.
Chamberlain J, McCarty S, Sorce J, et al. Impact on Delayed Newborn Bathing on Exclusive Breastfeeding Rates, Glucose and Temperature Stability, and Weight Loss. Journal of Neonatal Nursing 2019;25(2):74-77.
DiCioccio HL, Ady CM. Delaying the Initial Newborn Bath to Improve Exclusive Breastfeeding. Journal of Obstetric, Gynecologic & Neonatal Nursing 2019;48:S148.
Gözen D, Çaka SY, Beşirik SA, Perk Y. First Bathing Time of Newborn Infants After Birth: A Comparative Analysis. Journal for Specialists in Pediatric Nursing 2019;24(2):e12239.
Suchy C, Morton C, Ramos RR, et al. Does Changing Newborn Bath Procedure Alter Newborn Temperatures and Exclusive Breastfeeding? Neonatal Network 2018;37:4-10.
Nishijima K, Yoneda M, Hirai T, Takakuwa K, Enomoto T. Biology of the Vernix Caseosa: A Review. Journal of Obstetrics and Gynaecology Research 2019;45:2145-2149.
Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). Neonatal Skin Care: EvidenceBased Clinical Practice Guideline (3rd ed). Washington 2013;1-27.
Siroosbakht S, Aarabi N, Rezakhaniha B. Bathing or Not Bathing: Which Is Better for Umbilical Cord Separation Time and Bacterial Colonization in Neonates? Archives of Pediatric Infectious Diseases 2021;9.
Lund C. Bathing and Beyond: Current Bathing Controversies for Newborn Infants. Advances in Neonatal Care 2016;16:S13-S20.
Johnson E, Hunt R. Infant Skin Care: Updates and Recommendations. Current Opinion in Pediatrics 2019;31:476-481.
Taşdemir Hİ, Efe E. The Effect of Tub Bathing and Sponge Bathing on Neonatal Comfort and Physiological Parameters in Late Preterm Infants: A Randomized Controlled Trial. International Journal of Nursing Studies 2019;99:103377.
Karakul A, Doğan P. Preterm ve Term Yenidoğanlarda İlk Banyo Zamanlarının ve Farklı Banyo Yöntemlerinin Termoregülasyona Etkisi: Sistematik Derleme. Sakarya Tıp Dergisi 2020;10:711-718.
Sorte DY. Care of Skin in Neonate (Neonatal Skin Care Guidelines). Nurs Health Care Int J 2019;3:000175.
Topan LHMG, Carvalho VO, Abagge KT. Randomized Trial with Soaps - What Happens to a Newborn Baby’s Skin? Jornal de Pediatria 2021;98:204-211.
Nishino T, Ito N, Tomori S, et al. Effects of Temperature and Position Change on Neonatal Brain Regional Oxygen Saturation in Tub Bathing: A Prospective Study. Pain and Therapy 2021;10:1269-1282.
Ceylan SS, Bolışık ZB. Yenidoğan Yoğun Bakım Ünitelerinde Bebek Banyosu: Yenidoğan Hemşireleri İçin Öneriler. JAREN 2022;8:187-192.
El-Atawi K, Elhalik M. Neonatal Skin Care. Pediatr Neonatal Nurs Open Access 2016;2.
Blume Peytavi U, Kanti V. Prevention and Treatment of Diaper Dermatitis. Pediatric Dermatology 2018;35:19-23.
Hoeger PH. Neonatal Skin Care. Harper’s Textbook of Pediatric Dermatology 2019;63–71.
Goyal NK. The Newborn Infant. In Kliegman R.M., St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, editors. Nelson Textbook Of Pediatrics. 21th ed. Philadelphia: Elsevier; 2020. p. 867-876.
Küçük S, Uludaşdemir D. Yenidoğan ve Bebek Bakımı. Pediatri Hemşireliği Vaka Temelli Yaklaşım Kitabı İçinde Ed: Ö Avcı, İstanbul Tıp kitabevi, İstanbul 2022;174-204.
Eleanor J, Raegana H. Infant Skin Care: Updates and Recommendations. Current Opinion in Pediatrics 2019;31:476-481.
Madhu R, Chandran V, Anandan V, et al. Indian Academy of Pediatrics Guidelines for Pediatric Skin Care. Indian Pediatrics 2021;58:153-161.
Zenciroğlu A, Özbaş S. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Çocuk ve Ergen Sağlığı Daire Başkanlığı, Temel Yenidoğan Bakımı, 2017.
UNICEF, WHO, Neonatal Care Clinical Guidelines. The Kingdom of Eswatini 2018. Erişim Adresi: https://www.unicef.org/eswatini/media/631/file/UNICEF-Sd-Neonatal-Guidelines-report-2018.pdf (Erişim Tarihi: 28.03.2023).
Manasseh GSL, Amarakoon S, Photiou V, Arruti N, Borman AD. Approach to Conjunctivitis in Newborns. BMJ 2022;376.
Altıntaş Ö, Tuğan BY. Oftalmia Neonatorum ve Yenidoğan Dönemi Göz Enfeksiyonları. Klinik Tıp Pediatri Dergisi 2018;10:6-13.
Fahmy M. Umbilicus and Umbilical Cord. Sringer Cham, 2018;47-56.
Shahrour M, Sawalha NA, Masri M, et al. Alcohol Versus Dry Umbilical Cord Care Among Newborn Infants in Occupied Palestinian Territory: A Controlled Trial. The Lancet 2017;390:S3.
Uysal G, Sönmez Düzkaya D. Umbilical Cord Care and Infection Rates in Turkey. Journal of Obstetric. Gynecologic & Neonatal Nursing 2017;46:e118-e124.
Madian AAEA, Ouda MMA. The Effect of Topical Application of Mother Breast Milk Versus Distilled Water and Alcohol on Separation Time of Umbilical Cord Stump Among Neonates. Iris Journal of Nursing & Care 2019;1:2643-6892.
Roba AA, Tefera M, Worku T, Dasa TT, Estifanos AS, Assefa N. Application of 4% Chlorhexidine to the Umbilical Cord Stump of Newborn Infants in Lower Income Countries: A Systematic Review And Meta-Analysis. Maternal Health, Neonatology and Perinatology 2019;5:1-9.
Lyngdoh D, Kaur S, Kumar P, Gautam V, Ghai S. Effect of Topical Application of Human Breast Milk Versus 4% Chlorhexidine Versus Dry Cord Care on Bacterial Colonization and Clinical Outcomes of Umbilical Cord in Preterm Newborns. J Clin Neonatol 2018;7:25-30.
Castellanos JLL, Muñuzuri AP, Campillo CWR, et al. Recommendations for the Care of the Umbilical Cord in the Newborn. Anales de Pediatría (English Edition) 2019;90:401-e1.
Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Seidel’s Guide to Physical Examination: An Interprofessional Approach. 10th ed. Elsevier, 2022;259-289.
The Royal’s Children Hospital (RCH). Neonatal & Infant Skin Care. 2020. Erişim Adresi: https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Neonatal___infant_skin_care/ (Erişim Tarihi 26 Ocak 2023).
Gephart SM, Weller M & Gephart S. Colostrum As Oral Immune Therapy to Promote Neonatal Health. Advances in Neonatal Care 2014;14:44-51.
Boos MD, Sidbury R. Infections of the Skin. In: Gleason CA, Juul SE, editors. Avery’s Diseases of the Newborn. 10th ed. Philadelphia: Elsevier; 2018.
Ameen ZS, Chounthirath T, Smith GA & Jatana KR. Pediatric Cotton-Tip Applicator-Related Ear Injury Treated in United States Emergency Departments, 1990-2010. The Journal of Pediatrics 2017;186:124-130.
Roy S. Faulty Traditional Practices in Infant Care. International Journal of Medical and Surgical Sciences 2020;7.
Jana L, Shu J. Nailing It: How to Trim Your Baby’s Fingernails. 2020. Erşim Adresi: https://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Nails-Nails-Everywhere.aspx (Erişim Tarihi 3 Şubat 2023).
Adams ED, O’Neal PV, Hanson LA, Norris C, Ayers A, Harbin B. Airway Clearance of the Term Newborn. MCN: The American Journal of Maternal/Child Nursing 2018;43:306-312.
Hammer NC, Koch JJ, Hopkins HC. Neonatal Resuscitation: Updated Guidelines from the American Heart Association. Am Fam Physician 2021;104:425-428.
Ünüvar E. Bebeklerde Burun Tıkanıklığı. Klinik Tıp Pediatri Dergisi 2017;9:12-16.
Erkut Z. Chip Jones: Bronşiolit. Pediatri Hemşireliği Vaka Temelli Yaklaşım kitabı içinde, Çev. Ed: Ö Avcı, İstanbul Tıp kitabevi, İstanbul 2022;2-16.