Swaddled Bathing A Developmentally Supportive Approach

What is Swaddled Bathing?

*This is not swaddled bathing

What is Swaddled Bathing?

Bathing your baby while he remains swaddled in a blanket and is immersed into water that covers his entire body

except his head and neck.

But why do need to incorporate this in our practice?

But why do need to incorporate this in our practice?

Because we want to provide evidenced based developmental care.

But why do need to incorporate this in our practice?

Because we want to provide evidenced based developmental care.

Because we love the babies that we work with and we want to do what's best for them

Brief glance at the benefits

Maintain Physiological Stability

Brief glance at the benefits

Maintain Physiological Stability

Energy Conservation: improved chance of feeding well after the bath, and improved weight gain!

Brief glance at the benefits

Maintain Physiological Stability

Energy Conservation

Positive Interaction with Parents

Participate

bond build confidence

Brief glance at the benefits

Maintain Physiological Stability

Energy Conservation

Positive Interaction with Parents

Improved State Control

Brief glance at the benefits

Maintain Physiological Stability

Energy Conservation

Positive Interaction with Parents

Improved State Control

Better Temperature Stability

Is it easy? there is a learning curve…..

Okay, it’s really not that steep!

Setting up the Bath The supplies:

DandleLION Tub

Plastic bag insert

Hammock/sling

“Bitty blanket”

Peri-bottle

Graduate/cylinder full of water

Hospital approved soap

Soft sponges / wash cloth

Hat and clothing

Insert the plastic bag

1” hangs over edge should touch all sides of tub for thermometer to read correctly

Place the hammock/sling around the tub

The elastic band goes around the end of the tub lengthwise. side with tags and darts is the bottom of tub.

Adding Water

Water should be added to fill line

Adding Water

Water should be added to fill line

Water temperature should be 101˚

(101˚ is between 100 and 102˚)

Adding Water

Water should be added to fill line

Water temperature should be 101 (101 is between 100 and 102˚)

It takes a bit for the temperature

to read.

Adding Water

Water should be added to fill line

Water temperature should be 101

(101 is between 100 and 102˚)

It takes a bit for the temperature

to read.

If the water is too warm or cold, the temperature will

not read.

Getting the baby ready *take pre-post temperature

• Remove all clothes and disconnect baby from monitors

• Swaddle lightly in bitty blanket

Washing the baby

Face (wash while still in bed)

Use warm water only (no soap or baby wash)

Washing the baby

Face (wash while still in bed)

Use warm water only (no soap or baby wash)

Start from the inside of the eye and wipe to the outside

Washing the baby

Face (wash while still in bed)

Use warm water only (no soap or baby wash) Start from the inside of the eye and wipe to the outside New gauze for each eye

Washing the baby

Face (wash while still in bed)

Use warm water only (no soap or baby wash) Start from the inside of the eye and wipe to the outside New gauze for each eye Gently wipe and dry the entire face

Washing the baby

Body Gently place infant in tub and submerge to the nipple line if possible

Washing the baby

Body Gently place infant in tub and submerge to the nipple line if possible Support head and shoulders

Washing the baby

Body Gently place infant in tub and submerge to the nipple line if possible Support head and shoulders Unwrap one arm at a time to wash, reswaddle before moving to the opposite arm

Washing the baby

Slightly unswaddle to wash the abdomen

area (good opportunity to remove leads from

skin)

Washing the baby

Slightly unswaddle to wash the abdomen

area (good opportunity to remove leads from

skin)

Unwrap one leg at a time to wash, re-swaddle before moving to the opposite leg

Washing the baby

Slightly unswaddle to wash the abdomen

area (good opportunity to remove leads from

skin)

Wash the genital area before re-swaddling

Unwrap one leg at a time to wash, re-swaddle before moving to the opposite leg

Washing the baby

Wash the back through bitty blanket

Washing the baby

Wash the back through ‘bitty blanket’

Wash hair last to promote thermoregulation

*use water set aside in peri-bottle or cylinder to wash hair

• Unswaddle the baby and leave the ‘bitty blanket’ in the tub.

• Lift the baby to the dry and warm blanket draped across bathers chest and gently dry.

Drying the baby

• Unswaddle the baby and leave the ‘bitty blanket’ in the tub.

• Lift the baby to the dry and warm blanket draped across bathers chest and gently dry.

Drying the baby

• Remove the damp blankets and wrap the baby in dry, warm blankets on the bed.

• Unswaddle the baby and leave the ‘bitty blanket’ in the tub.

• Lift the baby to the dry and warm blanket draped across bathers chest and gently dry.

Drying the baby

• Remove the damp blankets and wrap the baby in dry, warm blankets on the bed.

• Take the baby’s temperature within 10 min of leaving the tub

Clean up

Clean up • Throw away the plastic bin liner

• hammock/sling and bitty blanket should be placed in the "Special Linen“

hamper for commercial laundry- cannot be laundered domestically

• Wipe down the tub with Sani wipe

• Store at baby’s bedside in your unit’s designated location

• Tubs are for use with one baby only and to be kept with that baby