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Expert Q&A:
Is it true that newborns do not need to be bathed but only sponged off?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
"I have worked as a pediatric nurse practitioner (P.N.P.) for over 30 years," says Linda Jonides. "I continue to thoroughly enjoy forming new relationships with parents and newborns and working with them through infancy, childhood, and adolescence."

Linda Jonides is a pediatric nurse practitioner in a private pediatric practice in Ann Arbor, Michigan. She received her Diploma in Nursing and Certificate as a Pediatric Nurse Practitioner from The Johns Hopkins Hospital. She is a past recipient of the Michigan PNP of the Year Award. She has a B.S. in Nursing from Eastern Michigan University. She has published articles and lectured on childhood obesity, infant colic, role of the P.N.P., growth and development issues, and infectious diseases. She was an author of "Clinical Insights Column," published biannually in the Journal of Pediatric Health Care for nine years. Jonides is past president of NAPNAP. Currently, she is a steering group work member of NAPNAP's HEAT (healthy eating and activity together) project. One outcome of this group's work is the clinical practice guideline, "Identifying and Preventing Overweight in Childhood," that was published as a supplement to the March/April '06 issue of the Journal of Pediatric Health Care.

Ms. Jonides has been married to John, a university professor, since 1971.
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Question


Newborns don't get very dirty, so it isn't necessary to do a complete bath more than once or twice a week for the first few weeks of life. You do want to keep the diaper area clean and wash your baby's hands and face several times a day. You also want to check the skin folds behind the knees, around the neck and thighs, armpits, and behind the ears as moisture or lint from clothing can collect there.

Answer


Newborns don't get very dirty, so it isn't necessary to do a complete bath more than once or twice a week for the first few weeks of life. You do want to keep the diaper area clean and wash your baby's hands and face several times a day. You also want to check the skin folds behind the knees, around the neck and thighs, armpits, and behind the ears as moisture or lint from clothing can collect there.

It's generally not recommended to do a tub bath until the baby's umbilical cord falls off, because excessive wetness may prolong drying of the cord. Don't be surprised if your baby cries during bathing at first, as this is a new experience and the skin of newborns is more sensitive than ours. So whether you are just sponging your baby or giving a more thorough bath, try to get everything you need organized beforehand so you can do it as quickly as possible. Eventually bath time becomes fun for most babies, and then you can linger with the process.

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