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- DOI 10.18231/j.ijced.83042.1758870584
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CrossMark
Knowledge, attitude, and practices of postnatal mothers towards neonatal skin care in a tertiary care hospital in Southern India
- Author Details:
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Anannya S
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B Sai Rithika Reddy
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Abyramy Balasundaram *
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Durgadevi Ganesan
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CRV Narasimhalu
B Sai Rithika Reddy
Abyramy Balasundaram *
Background: Neonatal skin care is crucial for maintaining skin integrity, preventing infections, and ensuring overall health. However, maternal knowledge and practices vary widely due to cultural beliefs, socioeconomic factors, and limited awareness. While some traditional practices are beneficial, others may pose risks, highlighting the need for standardized, evidence-based guidelines. This study evaluates the knowledge, attitudes, and practices of postnatal mothers toward neonatal skin care in a tertiary care hospital in Southern India.
Materials and Methods: A cross-sectional, questionnaire-based study was conducted from September 2024 to December 2024 at a teaching medical college in Chennai, Tamil Nadu. A total of 100 postnatal mothers were selected through non-probability convenience sampling. Data were collected via structured face-to-face interviews covering maternal hygiene, umbilical cord care, bathing practices, diaper care, and skincare routines. Statistical analysis was performed using SPSS version 21. Descriptive statistics were used to summarize baseline characteristics, with categorical data presented as frequencies and percentages.
Results: The study found that beneficial practices, such as oil massage (98%) and the use of soft cotton clothing (85%), were widely followed. However, harmful practices, including immediate post-birth bathing (42%), vigorous scrubbing (30%), and applying unverified substances to the umbilical cord (63%), were common. Additionally, 75% of mothers applied kajal, unaware of its potential health risks. Awareness of evidence-based skin care was low, with only 37% following WHO-recommended cord care guidelines.
Conclusion: Neonatal skin is delicate and highly sensitive, necessitating specialized care to prevent irritation and infections. This study highlights gaps in maternal awareness, emphasizing the need for structured educational initiatives. Strengthening collaboration between dermatologists, paediatricians, and caregivers is essential to improve neonatal skin health and long-term well-being.
References
- Kottner J, Surber C. Skin care in nursing: A critical discussion of nursing practice and research. Int J Nurs Stud. 2016;61:20–8.
- Blume-Peytavi U, Kottner J, Sterry W, Hodin MW, Griffiths TW, Watson REB, et al. Ageassociated skin conditions and diseases: current perspectives and future options. Gerontologist. 2016;56(Suppl 2):S230–42.
- Feo R, Conroy T, Jangland E, Muntlin Athlin Å, Brovall M, Parr J, et al. Towards a standardised definition for fundamental care: a modified Delphi study. J Clin Nurs. 2018;27(11–12):2285–99.
- Gupta P, Nagesh K, Garg P, Thomas J, Suryawanshi P, Sethuraman G, et al. Evidence-Based Consensus Recommendations for Skin Care in Healthy, Full-Term Neonates in India. Pediatr Health Med Ther. 2023;14:249–65.
- World Health Organization. WHO Fact sheets. Newborns: improving survival and well-being; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/newborns- reducing-mortality. Accessed February 26, 2021.
- Darmstadt GL, Dinulos JG. Neonatal skin care. Pediatr Clin North Am. 2000;47(4):757–82.
- Bouslimani A, da Silva R, Kosciolek T, Janssen S, Callewaert C, Amir A, et al. The impact of skin care products on skin chemistry and microbiome dynamics. BMC Biol. 2019;17(1). DOI:
- 1186/s12915-019-0660-6.
- Chuong CM, Nickoloff BJ, Elias PM, Goldsmith LA, Macher E, Maderson PA, et al. What is the ‘true’ function of skin? Exp Dermatol. 2002;11(2):159–87.
- Visscher MO, Adam R, Brink S, Odio M. Newborn infant skin: Physiology, development, and care. Clin Dermatol. 2015;33(3):271–80.
- de Bengy AF, Lamartine J, Sigaudo-Roussel D, Fromy B. Newborn and elderly skin: two fragile skins at higher risk of pressure injury. Biol Rev Camb Philos Soc. 2022;97(3):874–95.
- Lintzeri DA, Karimian N, Blume-Peytavi U, Kottner J. Epidermal thickness in healthy humans: a systematic review and meta-analysis. J Eur Acad Dermatol Venereol. 2022 Aug; 36(8):1191–200.
- Évora AS, Adams MJ, Johnson SA, Zhang Z. Corneocytes: relationship between structural and biomechanical properties. Skin Pharmacol Physiol. 2021;34(3):146–61.
- Ludriksone L, Garcia Bartels N, Kanti V, Blume-Peytavi U, Kottner J. Skin barrier function in infancy: a systematic review. Arch Dermatol Res. 2014;306(7):591–9.
- Srinivasa S, Bhavya G, Patel S, Anjum SK. Knowledge, attitude, and practice of mothers in infantile skin care. Int J Contemp Pediatr. 2018;5(2):536–41.
- World Health Organization. Recommendations on antenatal care for a positive pregnancy experience. Geneva: WHO; 2016.
- Devasenapathy N, George MS, Jerath SG, Singh A, Negandhi H, Alagh G, et al. Association of antenatal care and place of delivery with newborn care practices: evidence from a cross-sectional survey in rural Uttar Pradesh, India. J Health Popul Nutr. 2017;36(1):30.
- Blume‐Peytavi U, Lavender T, Jenerowicz D, Ryumina I, Stalder J, Torrelo A, et al. Recommendations from a European Roundtable Meeting on Best Practice Healthy Infant Skin Care. Pediatr Dermatol. 2016;33(3):311–21.
- Meek JY, Noble L. Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics. 2022;150(1): 057988
- Sarkar R, Basu S, Agrawal RK, Gupta P. Skin care for the newborn. Indian Pediatr. 2010;47(7):593–8.
- Madhu R, Chandran V, Anandan V, Nedunchelian K, Thangavelu S, Soans ST, et al.. Indian Academy of Pediatrics Guidelines for Pediatric Skin Care. Indian Pediatr. 2021;58(2):153–61. .
- WHO recommendations on newborn health: guidelines approved by the WHO Guidelines Review Committee. World Health Organization; 2017 (WHO/MCA/17.07). Available from: https://apps.who.int › iris › bitstream › handle › WHO-MCA-
- 07-eng.pdf. Accessed September 22, 2018
- Madhu R, Chandran V, Anandan V, Nedunchelian K, Thangavelu S, Soans ST, et al. Indian Academy of Pediatrics Guidelines for Pediatric Skin Care. Indian Pediatr. 2021;58(2):153–61.
- American Academy of Pediatrics. Avoiding dry winter skin in babies and toddlers. HealthyChildren.org [Internet]. Available from: https://www.healthychildren.org/English/health- issues/conditions/skin/Pages/Avoiding-Dry-Winter-Skin-in-Babies- and-Toddlers.aspx
- Darmstadt G, Mao‐Qiang M, Chi E, Saha S, Ziboh V, Black R, et al. Impact of topical oils on the skin barrier: possible implications for neonatal health in developing countries. Acta Paediatr. 2002;91(5):546–54.
- Pasricha JS, Gupta R, Gupta SK. Contact hypersensitivity to mustard khal and mustard oil. Indian J Dermatol Venereol Leprol. 1975;51(2):108–10.
- De Groot AC. Fragrances: Contact allergy and other adverse effects. Dermatitis. 2020;31(1):13–25.
- Hayden GF, Sproul GT. Baby powder use in infant skin care. Clin Pediatr (Phila). 1984;23(3):163–5. 352 Anannya et al. / IP Indian Journal of Clinical and Experimental Dermatology 2025;11(3):345-352
- Tiffany-Castiglioni E, Barhoumi R, Mouneimne Y. Kohl and surma eye cosmetics as significant sources of lead (Pb) exposure. J Local Global Health Sci. 2012;2012(1):1.
- Jenifer M, Benjamin EE. Cultural practices and beliefs regarding newborn care in South India. Indian J Cont Nsg Edn. 2019;20(2):106–10.
- Arumugam L, Kamala S, Ganapathy K, Srinivasan S. Traditional newborn care practices in a tribal community of Tamil Nadu, South India: A mixed methods study. Indian J Community Med. 2023;48(1):131–6.
- Stamatas G.N., Tierney N.K. Diaper dermatitis: Etiology, manifestations, prevention, and management. Pediatr Dermatol. 2014;31(1):1–7.
- Lund CH, Osborne JW, Kuller J, Lane AT, Lott JW, Raines DA, et al. Neonatal skin care: balancing tradition and evidence. J Obstet Gynecol Neonatal Nurs. 2001;30(1):41–51.
- Chang MW, Nakrani R. Six children with allergic contact dermatitis to methylisothiazolinone in wet wipes (baby wipes). Pediatrics. 2014;133(2):e434–8