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Indian Pediatrics

, Volume 47, Issue 7, pp 593–598 | Cite as

Skin care for the newborn

  • Rashmi SarkarEmail author
  • Srikanta Basu
  • R. K. Agrawal
  • Piyush Gupta
Review Article

Abstract

Skin of the newborn differs from that of an adult in several ways. It is more susceptible to trauma and infection and requires special care. Certain principles of skin care have to be emphasized to the mother or caregiver such as gentle cleansing, adequate hydration and moisturization of the skin, preventing friction and maceration in body folds, and protection from irritants and bright sunlight. The initial bath in full term infants can be given once the baby’s temperature has stabilized and the infant is hemodynamically stable. All soaps, cleansers, and syndets should be used infrequently during the newborn period and it is better if their use is limited to groins, axillae and napkin areas. The use of emollients on newborns should be limited in warm weather.

Key words

Newborn Skin care 

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References

  1. 1.
    Sarkar R. Care of the skin In: Gupta P, editor. Essential Pediatric Nursing. New Delhi: CBS Publishers and Distributors; 2007. p. 217–226.Google Scholar
  2. 2.
    Ramasastry P, Downing DT, Pochi PE, Strauss JS. Chemical composition of human skin surface lipids from birth to puberty. J Invest Dermatol 1970;50:139–144.CrossRefGoogle Scholar
  3. 3.
    Solomon LM, Esterly NB. Neonatal dermatology. The newborn skin. J Pediatr 1970;77:888–894.CrossRefPubMedGoogle Scholar
  4. 4.
    Draelos ZD. Sensitive skin: perceptions, evaluation and treatment. Am J Contact Dermat 1997;8:67–68.CrossRefPubMedGoogle Scholar
  5. 5.
    Anathapadmanabhan KP, Moore DJ, Subramanyam K, Misra M, Meyer F. Cleansing without compromise: the impact of cleansers on the skin barrier and the technology of mild cleansing. Dermatol Ther 2004;17(Suppl 1):16–25.CrossRefGoogle Scholar
  6. 6.
    Schmid-Wendtner MH, Karting HT. The pH of the skin surface and its impact on the barrier function. Skin Pharmcol Physiol 2006;19:296–302.CrossRefGoogle Scholar
  7. 7.
    Bertone SA, Fischer MC, Mortensen JE. Quantitative skin cultures at potential catheter sites in neonates. Infect Control Hosp Epidemiol 1994;15:315–318.CrossRefPubMedGoogle Scholar
  8. 8.
    Dhar S. Newborn skin care revisited. Indian J Dermatol 2007;52:1–4.CrossRefGoogle Scholar
  9. 9.
    Heath SB, Narendran V, Visscher M. Role and biology of vernix. Neonatal Infant Nurs Rev 2001;1:53–58.CrossRefGoogle Scholar
  10. 10.
    Hoeger PH, Schreiner V, Klassen IA, Enzmann EC, Friedrich K, Bleck O. Epidermal barrier lipids in human vernix caseosa. Corresponding ceramide pattern in vernix and fetal skin. Br J Dermatol 2002;146:194–201.CrossRefPubMedGoogle Scholar
  11. 11.
    Singh G, Archana G. Unraveling the mystery of vernix caseosa. Indian J Dermatol 2008;5:54–60.CrossRefGoogle Scholar
  12. 12.
    Basu S, Gupta P. Care of the normal newborn. In: Gupta P, editor. Essential Pediatric Nursing. New Delhi: CBS Publishers and Distributors; 2007.p. 217–226.Google Scholar
  13. 13.
    Behring A, Vezeau TM, Fink R, Timing of the newborn first bath: A replication. J Neonat Nurs 2003; 22: 39–46.Google Scholar
  14. 14.
    Medves JM, O’Brien B. The effect of bather and location of first bath on maintaining thermal stability in newborns. J Obstet Gynaecol Neonat Nurs 2004;33:175–182.CrossRefGoogle Scholar
  15. 15.
    Tyebkhan G. Skin cleansing in neonates and infants-basics of cleansers. Indian J Pediatr 2002;69:767–769.CrossRefPubMedGoogle Scholar
  16. 16.
    Morelli JG, Weston WL. Soaps and shampoos in pediatric practice. Pediatrics 1987;80:634–637.PubMedGoogle Scholar
  17. 17.
    Kuehl BL, Fyfe KS, Shear NH. Cutaneous cleansers. Skin Therapy 2003;8:1–4.Google Scholar
  18. 18.
    Peck SM, Kantor I, Brodey M. Alkaline toilet soaps are not the cleansers of choice in routine pediatric practice. A cross-over study comparing alkaline toilet soap against a neutral detergent as a routine cleanser. Clin Pediatr 1964;3:42–45.CrossRefGoogle Scholar
  19. 19.
    Gfatter R, Hackl P, Braun F. Effects of soap and detergents on skin surface pH, stratum corneum hydration and fat content in infants. Dermatology 1997;195:258–262.CrossRefPubMedGoogle Scholar
  20. 20.
    Griffiths WAD, Wilkinson JD. Topical agents. In: Champion RH, Burns DA, Breathnach SM, editors. Textbook of Dermatology. 6th ed. Blackwell Science; 1998. p. 3519–3551.Google Scholar
  21. 21.
    Spoor HJ. Shampoos. Cutis 1973;12:671–672.Google Scholar
  22. 22.
    Marks R. Emollients. London: Martin Dunitz Ltd; 2002.Google Scholar
  23. 23.
    Caputo R, Monti M. Children’s skin and cleaning agents. Wein Med Wochenschr Suppl 1990;108:24–25.Google Scholar
  24. 24.
    Dhar S, Banerjee R, Mishra KS. Oil massage in paedatric practice: what to choose and what not to. Indian J Pediatr Dermatol 2006;99:2–5.Google Scholar
  25. 25.
    Pasricha JS, Gupta R, Gupta SK. Contact hypersensitivity to mustard khal and mustard oil. Indian J Dermatol Venereol Leprol 1975;51:108–110.Google Scholar
  26. 26.
    Agero AL, Verallo-Rowell VM. A randomized double blind controlled trial comparing extra virgin coconut oil with mineral oil as moisturizer for mild to moderate xerosis. Dermatitis 2004;15:109–116.PubMedGoogle Scholar
  27. 27.
    Mofensin HC, Greenshen J, Di Tamasso A, Okus S. Baby powder: the hazard. Pediatrics 1981;68:265–266.Google Scholar
  28. 28.
    Thappa DM. Newborn skin and its care. In: Thappa DM, editor. Clinical Pediatric Dermatology. 1st edition. Elseiver: Noida; 2009.p. 10–13.Google Scholar

Copyright information

© Indian Academy of Pediatrics 2010

Authors and Affiliations

  • Rashmi Sarkar
    • 3
    Email author
  • Srikanta Basu
    • 1
  • R. K. Agrawal
    • 1
  • Piyush Gupta
    • 2
  1. 1.Lady Hardinge Medical College and Kalawati Saran Children HospitalNew DelhiIndia
  2. 2.University College of Medical SciencesNew DelhiIndia
  3. 3.Department of DermatologyMaulana Azad Medical College and Lok Nayak HospitalNew DelhiIndia

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