Furber C, Bedwell C, Campbell M, Cork M, Jones C, Rowland L, Lavender T, et al.
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN. Date of publication 2012 Nov 1;volume 41(6):E13-25.
1. J Obstet Gynecol Neonatal Nurs. 2012 Nov-Dec;41(6):E13-25. doi:
10.1111/j.1552-6909.2012.01390.x. Epub 2012 Jul 23.
The challenges and realties of diaper area cleansing for parents.
Furber C(1), Bedwell C, Campbell M, Cork M, Jones C, Rowland L, Lavender T.
Author information:
(1)School of Nursing Midwifery and Social Work, University of Manchester,
Manchester, UK. christine.furber@manchester.ac.uk
OBJECTIVE: To explore the complexities of diaper area cleansing reported by
women participating in a randomized controlled trial designed to compare
optimally formulated baby wipes (Johnson's Baby Skincare fragrance free wipe)
with cotton wool and water.
DESIGN: A mixed-method design incorporating quantitative and qualitative methods
to explore maternal views and experiences of using baby wipes or cotton wool and
water to cleanse their newborn's diaper area over an 8-week period.
SETTING: Participants were recruited from a large regional maternity hospital in
Northern England.
PARTICIPANTS: Participants included 280 women and their healthy term newborns;
252 provided 4-week data (90.0%) and 237 provided 8-week data (85.0%).
METHODS: Data from diaries and structured face-to-face interviews at 4 weeks and
telephone interviews at 8 weeks were transcribed and thematically analyzed to
identify themes. Quantitative data were compared between randomized groups using
descriptive statistics and two-group tests, where appropriate.
RESULTS: Major themes identified highlighted the practical realities of diaper
area cleansing, diaper area cleansing and everyday life, and living with the
rhetoric that water is best. Baby wipes were perceived as more convenient
efficient at cleansing. Some women using cotton wool and water did not cleanse
skin after urination alone. Diaper changing was significantly more frequent in
the baby wipes group at 4 weeks, but there was no significant difference between
the groups at 8 weeks.
CONCLUSION: Women are faced with a complex environment regarding diaper area
cleansing and need clear evidence-based advice and guidance on effective diaper
area cleansing.
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
DOI: 10.1111/j.1552-6909.2012.01390.x
PMID: 22822929 [Indexed for MEDLINE]
