Effects of Swaddled and Traditional Tub Bathing on Stress and Physiological Parameters of Preterm Infants: A Randomized Clinical Trial in China

  • Randomized controlled trial
  • Subjects: 60 preterm infants
    • Control group: 5 minute traditional tub bath
    • Experimental Group: 5 minute swaddled tub bath
  • Outcomes: ¬†Temperature, respiratory rate, oxygen saturation, crying time and Newborn Stress Scale documented 10 minutes before, immediately after and 10 minutes after the bath, with the exception of crying which was continuously measured.
  • Results
    • Crying was significantly increased in the control group
    • Vital signs were more stable in the experimental group
Huang, Y., Zhou, L., Abdillah, H., Hu, B., Jiang, Y. (2021). Effects of Swaddled and Traditional Tub Bathing on Stress and Physiological Parameters of Preterm Infants: A Randomized Clinical Trial in China. Journal of Pediatric Nursing. 64 (2022) e154-e158.

Effects of Swaddle Bath on Temperature, Heart Rate and Oxygen Saturation in Premature Infants

  • Quasi-experimental study
  • Subjects: 50 premature infants between 30-36 weeks PMA and weight >1500 grams
    • Control subjects: received a 5 minute traditional bath
    • Experimental group: received a 5 minute swaddled bath
  • Outcomes: Temperature, heart rate and oxygen saturation before and after bath
  • Results:
    • All vital signs before and after the traditional bath were statistically significant signifying stress
    • All vital signs before and after the swaddle bath were not significant leading researchers to conclude that swaddled bathing was safe and secure for premature infants
Rudhiati, F. and Murtiningsih, M. (2022). Effects of Swaddle Bath on Temperature, Heart Rate and Oxygen Saturation in Premature Infants. KnowledgE Life Sciences. doi: 10.18502/kls.v7i2.10386

Effect of Swaddle Bathing Versus Traditional Bathing on Physiological Stability and Comfort Level Among Neonates

  • Quasi-experiemntal study
  • Subjects: 45 preterm infants
    • Control subjects: received a traditional bath
    • Experimental group: received a swaddled bath
  • Outcomes:¬†Pain and vital signs were assessed before, after and 10 minutes after each bath
  • Results:
    • Crying, calm alert state, facial tension, muscle tone, temperature, heart rate, respiratory rate, and oxygen saturation were all found to be statistically significant between the 2 groups
    • Researchers recommended further teaching of staff and families to change bathing practices to a swaddled bath instead of a traditional sponge bath
Mohamed, S., and Elashry, R. (2022). Effect of Swaddle Bathing Versus Traditional Bathing on Physiological Stability and Comfort Level Among Neonates. Assiut Scientific Nursing Journal. doi: 10.21608/ASJN.2022.114551.1293

Final Thoughts

Isn’t it incredible how one routine NICU activity can impact so many different areas of a baby and their development?! Swaddled bathing is just one of the many neuroprotective skills you will learn in the Neonatal Touch & Massage Certification. We hope to see you in the next year at an NTMC, so you can obtain these skills and more to support the babies and families in your unit. Already an NTMC professional? Thanks for being part of our NTMC Family!