Chances are your nurse helped you bathe your preemie baby in the hospital but now that you’re home you’re struggling to remember every step. Relax; follow these six easy steps to a stress-free and relaxing bath both you and your baby will love each time.
Just as you would gather supplies before making your favorite recipe, get your bath assembled in a warm environment. Most bathrooms are warmer than drafty kitchens, unless you mean to intentionally cool the baby. Turn off the phone and ask dad for an extra pair of hands to help . . . just in case.
Place the baby bathtub on a firm surface, and set your bath articles away from baby’s reach. Bath items you will want include a soft wash cloth, cotton balls, rinse water, etc.
Prepare the after-bath area for drying by padding with extra clean towels. To warm your towels before the bath, toss them into the dryer on the “delicate” cycle for 5 minutes or so. Never use a microwave or convection oven to warm towels or clothes.)
Grab an extra diaper, too, since bathing often stimulates babies to relax and let it rip!
Your baby’s bath should be warmer than lukewarm, so she doesn’t get chilled. Her body temperature is 98.6 F, so aim for bath water that’s between 99ºF to 100ºF. Test the water with your elbow, rather than your hand, as our hands are used to warmer temperatures. Remember to fill a non-glass container, like a large plastic pitcher, with warm rinse water before you begin.
If your baby’s umbilical cord has healed, you will dunk her whole body, except her head!, as opposed to a swipe n’ wipe. To place her in the tub, spread your fingers and grasp the base of her skull and her shoulders with one hand. Use your other hand to support her lower body. Gently lower her into the water. Concentrate on supporting the upper body and allow the lower torso to float freely. If she doesn’t relax into the bath, she may be telling you the water is too hot or cold, that you are holding her at the wrong angle, or that she doesn’t feel well.
Beginning with the eyes, wipe from the inner to the outer eye corners with cotton balls or a corner of a clean wash cloth soaked and wringed of plain water. Then change cotton balls, or rotate to another corner of the cloth. Avoid cross-contamination of any bacteria housed in one eye to the other as it’s easily transferred. With this in mind, also avoid back and forth swipes on the same eye.
Continue to wash the rest of her body with mild baby soap. (Note: For boys with fresh circumcisions, do a sponge bath until your baby’s doctor or healthcare provider confirms it’s completely healed.)
Pay extra attention to the neck folds and creases in her arms and legs. Then, rinse using the plastic pitcher. It will be helpful to have an extra pair of hands!
Candace Campbell, DNP, RN, CNL, has practiced as an NICU nurse and educator for 20 years. Her documentary film, Micropremature Babies: How Low Can You Go? plus her delightful children’s books, My Mom Is A Nurse, and Good Things Come In Small Packages (I Was A Preemie), are available on Amazon.com or: http://www.candycampbell.com. A percentage of the profits of each sale goes to the March of Dimes.
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