Knowledge, attitude and practice of mothers in infantile skin care
DOI:
https://doi.org/10.18203/2349-3291.ijcp20180550Keywords:
Newborn, Skin careAbstract
Background: Skin of the newborn is susceptible and sensitive to trauma and infection and requires special care. Though mothers are aware of the infants’ skin care, just studying the knowledge and attitude is not enough without studying the practice. The objective of this study was to determine the knowledge, attitude and practices of mothers regarding the infantile skin care.
Methods: A cross sectional study conducted at a tertiary care centre in Bangalore. In a period of 6 months, post-natal mothers with infants attending well baby clinics were interviewed through a semi structure performa.
Results: Among 400 mothers interviewed mean age was 25.44 years, 37.67% belonging to urban and 62.33% to rural area. 96.7% were educated. Only 36.33% practiced correct hand washing practice before handling. 52.4% reported 1st bath to babies on day 3 of life, 64.4% reported 5-10 minutes bathing, and 78.6% reported daily bathing. 78.30% unaware that perfumed soaps cause skin irritation. 84.60% practiced daily oil massage and 86.40% used coconut oil. Reasons stated were better development (59.30%), soft skin (24.70%). 76.2% used talcum powder to absorb moisture. 88% believes Kajal use is safe and most use to ward off evil eyes. 57% used diapers while going outside, 65% changed < 3 per day, 62 % used cloth to wipe the area, 45% used talcum powder while changing diaper.
Conclusion: This study helps us to identify knowledge gaps, cultural beliefs and behavioral pattern of mothers in infantile skin care. It also measures effectiveness of health education in changing health behavior.
References
Sarkar CR. Care of the skin In: Gupta P, editor. Essential Pediatric Nursing. New Delhi: CBS Publishers and Distributors; 2007:217-26.
Sarkar R, Basu S, Agrawal R, Gupta P. Skin care for the newborn. Indian Pediatr. 2010:47(7):593-8.
Bertone SA, Fischer MC, Mortensen JE. Quantitative skin cultures at potential catheter sites in neonates. Infect Control Hosp Epidemiol 1994;15:315-8.
Dhar S. Newborn skin care revisited. Indian J Dermatol. 2007;52:1-4.
Telofski LS, Morello AP, Correa MMC, Stamatas GN. The infant skin barrier: can we preserve, protect, and enhance the barrier? Dermatol Res Pract. 2012;2012:198789.
Blume‐Peytavi U, Cork MJ, Faergemann J, Szczapa J, Vanaclocha F, Gelmetti C. Bathing and cleansing in new-borns from day 1 to first year of life: recommendations from a European round table meeting. J Eu Acad Dermatol Venereol. 2009;23(7):751-9.
Waiswa P, Peterson S, Tomson G, Pariyo GW. Poor newborn care practices: a population based survey in eastern Uganda. BMC Pregnancy Childbirth. 2010;10:9.
Behring A, Vezeau TM, Fink R, Timing of the newborn first bath: a replication. J Neonat Nurs. 2003;22:39-46.
Tyebkhan G. Skin cleansing in neonates and infants-basics of cleansers. Indian J Pediatr. 2002;69:767-9.
Edves J, O’Brien B. Does bathing newborns remove potentially harmful pathogens from the skin? Birth. 2001;28(3):161-5.
Trotter S. Neonatal skincare: why change is vital. Midwives. 2006;9(4):134-8.
Fernandes JD, Machado MCR, Oliveira ZNP. Children and newborn skin care and prevention. An Bras Dermatol. 2011;86(1):102-10.
Catanzaro J, Smith J. Propylene glycol dermatitis. J Am Acad Dermatol. 1991;24:90.
Bartels GN, Mleczko A, Schink T, Proquitte H, Wauer R-R, Blume-Peytavi U. Influence of bathing or washing on skin barrier function in newborns during the first four weeks of life. Skin Pharmacol Physiol. 2009;22:248-57.
Galzote C, Dizon MV, Estanislao R, Mathew N. Opportunities for mild and effective infant cleansing beyond water alone. J Am Acad Dermatol. 2007;56(2):AB158.
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.
Mofensin HC, Greenshen J, Di Tamasso A, Okus S. Baby powder: the hazard. Pediatr. 1981;68:265-6.
Adam R. Skin care of the diaper area. Pediatr Dermatol. 2008;25:427-33.
