Acceptability of Massage with Skin Barrier-enhancing Emollients in Young Neonates in Bangladesh
Oil massage of newborns has been practised for generations in the Indian sub-continent; however, oils may vary from potentially beneficial, e.g. sunflower seed oil, to potentially toxic, e.g. mustard oil. The study was carried out to gain insights into oil-massage practices and acceptability of skin...
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Published in | Journal of health, population and nutrition Vol. 25; no. 2; pp. 236 - 240 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Bangladesh
ICDDR,B: Centre for Health and Population Research
01.06.2007
BioMed Central Ltd BioMed Central International Centre for Diarrhoeal Disease Research, Bangladesh |
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Abstract | Oil massage of newborns has been practised for generations in the
Indian sub-continent; however, oils may vary from potentially
beneficial, e.g. sunflower seed oil, to potentially toxic, e.g. mustard
oil. The study was carried out to gain insights into oil-massage
practices and acceptability of skin barrier-enhancing emollients in
young, preterm Bangladeshi neonates. Preterm infants of <33 weeks
gestational age were randomized to high-linoleate sunflower seed oil,
Aquaphor Original Emollient Ointment™, or the comparison group
(usual care). A survey was administered at admission to assess routine
skin-care practices prior to admission and at discharge to assess
acceptability of emollient therapy during hospitalization. Oil massage
was given to 83 (21%) of 405 babies before hospital admission, 86%
(71/83) of whom were delivered at home. Application of oil, most
commonly mustard oil (88%, 73/83), was started within one hour of birth
in 51 cases (61%) and was applied all over the body (89%, 74/83) one to
six (mean 2.2) times before admission. Of infants who received
emollient therapy in the hospital, 42% (n=32) of mothers reported that
the emollient applied in the hospital was better than that available at
home, and only 29% would use the same oil (i.e. mustard oil) in the
future as used previously at home. No problems resulted from use of
emollient in the hospital. Topical therapy with sunflower seed oil or
Aquaphor was perceived by many families to be superior to mustard oil.
If caregivers and health professionals can be motivated to use
inexpensive, available emollients, such as sunflower seed oil that are
beneficial, emollient therapy could have substantial public-health
benefit. |
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AbstractList | Oil massage of newborns has been practised for generations in the
Indian sub-continent; however, oils may vary from potentially
beneficial, e.g. sunflower seed oil, to potentially toxic, e.g. mustard
oil. The study was carried out to gain insights into oil-massage
practices and acceptability of skin barrier-enhancing emollients in
young, preterm Bangladeshi neonates. Preterm infants of <33 weeks
gestational age were randomized to high-linoleate sunflower seed oil,
Aquaphor Original Emollient Ointment™, or the comparison group
(usual care). A survey was administered at admission to assess routine
skin-care practices prior to admission and at discharge to assess
acceptability of emollient therapy during hospitalization. Oil massage
was given to 83 (21%) of 405 babies before hospital admission, 86%
(71/83) of whom were delivered at home. Application of oil, most
commonly mustard oil (88%, 73/83), was started within one hour of birth
in 51 cases (61%) and was applied all over the body (89%, 74/83) one to
six (mean 2.2) times before admission. Of infants who received
emollient therapy in the hospital, 42% (n=32) of mothers reported that
the emollient applied in the hospital was better than that available at
home, and only 29% would use the same oil (i.e. mustard oil) in the
future as used previously at home. No problems resulted from use of
emollient in the hospital. Topical therapy with sunflower seed oil or
Aquaphor was perceived by many families to be superior to mustard oil.
If caregivers and health professionals can be motivated to use
inexpensive, available emollients, such as sunflower seed oil that are
beneficial, emollient therapy could have substantial public-health
benefit. Oil massage of newborns has been practised for generations in the Indian sub-continent; however, oils may vary from potentially beneficial, e.g. sunflower seed oil, to potentially toxic, e.g. mustard oil. The study was carried out to gain insights into oil-massage practices and acceptability of skin barrier-enhancing emollients in young, preterm Bangladeshi neonates. Preterm infants of <33 weeks gestational age were randomized to high-linoleate sunflower seed oil, Aquaphor Original Emollient Ointment™, or the comparison group (usual care). A survey was administered at admission to assess routine skin-care practices prior to admission and at discharge to assess acceptability of emollient therapy during hospitalization. Oil massage was given to 83 (21%) of 405 babies before hospital admission, 86% (71/83) of whom were delivered at home. Application of oil, most commonly mustard oil (88%, 73/83), was started within one hour of birth in 51 cases (61%) and was applied all over the body (89%, 74/83) one to six (mean 2.2) times before admission. Of infants who received emollient therapy in the hospital, 42% (n=32) of mothers reported that the emollient applied in the hospital was better than that available at home, and only 29% would use the same oil (i.e. mustard oil) in the future as used previously at home. No problems resulted from use of emollient in the hospital. Topical therapy with sunflower seed oil or Aquaphor was perceived by many families to be superior to mustard oil. If caregivers and health professionals can be motivated to use inexpensive, available emollients, such as sunflower seed oil that are beneficial, emollient therapy could have substantial public-health benefit. Oil massage of newborns has been practised for generations in the Indian sub-continent; however, oils may vary from potentially beneficial, e.g. sunflower seed oil, to potentially toxic, e.g. mustard oil. The study was carried out to gain insights into oil-massage practices and acceptability of skin barrier-enhancing emollients in young, preterm Bangladeshi neonates. Preterm infants of <33 weeks gestational age were randomized to high-linoleate sunflower seed oil, Aquaphor Original Emollient Ointment(TM), or the comparison group (usual care). A survey was administered at admission to assess routine skin-care practices prior to admission and at discharge to assess acceptability of emollient therapy during hospitalization. Oil massage was given to 83 (21%) of 405 babies before hospital admission, 86% (71/83) of whom were delivered at home. Application of oil, most commonly mustard oil (88%, 73/83), was started within one hour of birth in 51 cases (61%) and was applied all over the body (89%, 74/83) one to six (mean 2.2) times before admission. Of infants who received emollient therapy in the hospital, 42% (n=32) of mothers reported that the emollient applied in the hospital was better than that available at home, and only 29% would use the same oil (i.e. mustard oil) in the future as used previously at home. No problems resulted from use of emollient in the hospital. Topical therapy with sunflower seed oil or Aquaphor was perceived by many families to be superior to mustard oil. If caregivers and health professionals can be motivated to use inexpensive, available emollients, such as sunflower seed oil that are beneficial, emollient therapy could have substantial public-health benefit. Adapted from the source document. Oil massage of newborns has been practised for generations in the Indian sub-continent; however, oils may vary from potentially beneficial, e.g. sunflower seed oil, to potentially toxic, e.g. mustard oil. The study was carried out to gain insights into oil-massage practices and acceptability of skin barrier-enhancing emollients in young, preterm Bangladeshi neonates. Preterm infants of <33 weeks gestational age were randomized to high-linoleate sunflower seed oil, Aquaphor Original Emollient Ointment(TM), or the comparison group (usual care). A survey was administered at admission to assess routine skin-care practices prior to admission and at discharge to assess acceptability of emollient therapy during hospitalization. Oil massage was given to 83 (21%) of 405 babies before hospital admission, 86% (71/83) of whom were delivered at home. Application of oil, most commonly mustard oil (88%, 73/83), was started within one hour of birth in 51 cases (61%) and was applied all over the body (89%, 74/83) one to six (mean 2.2) times before admission. Of infants who received emollient therapy in the hospital, 42% (n=32) of mothers reported that the emollient applied in the hospital was better than that available at home, and only 29% would use the same oil (i.e. mustard oil) in the future as used previously at home. No problems resulted from use of emollient in the hospital. Topical therapy with sunflower seed oil or Aquaphor was perceived by many families to be superior to mustard oil. If caregivers and health professionals can be motivated to use inexpensive, available emollients, such as sunflower seed oil that are beneficial, emollient therapy could have substantial public-health benefit. [PUBLICATION ABSTRACT] Oil massage of newborns has been practised for generations in the Indian sub-continent; however, oils may vary from potentially beneficial, e.g. sunflower seed oil, to potentially toxic, e.g. mustard oil. The study was carried out to gain insights into oil-massage practices and acceptability of skin barrier-enhancing emollients in young, preterm Bangladeshi neonates. Preterm infants of <33 weeks gestational age were randomized to high-linoleate sunflower seed oil, Aquaphor Original Emollient Ointment, or the comparison group (usual care). A survey was administered at admission to assess routine skin-care practices prior to admission and at discharge to assess acceptability of emollient therapy during hospitalization. Oil massage was given to 83 (21%) of 405 babies before hospital admission, 86% (71/83) of whom were delivered at home. Application of oil, most commonly mustard oil (88%, 73/83), was started within one hour of birth in 51 cases (61%) and was applied all over the body (89%, 74/83) one to six (mean 2.2) times before admission. Of infants who received emollient therapy in the hospital, 42% (n=32) of mothers reported that the emollient applied in the hospital was better than that available at home, and only 29% would use the same oil (i.e. mustard oil) in the future as used previously at home. No problems resulted from use of emollient in the hospital. Topical therapy with sunflower seed oil or Aquaphor was perceived by many families to be superior to mustard oil. If caregivers and health professionals can be motivated to use inexpensive, available emollients, such as sunflower seed oil that are beneficial, emollient therapy could have substantial public-health benefit. |
Audience | Academic |
Author | Santosham, Mathuram Saha, Samir K Darmstadt, Gary L Black, Robert E Chowdhury, M.A.K. Azad Law, Paul A Ahmed, A.S.M. Nawshad Uddin |
AuthorAffiliation | 2 Department of Pediatrics, Kumudini Women's Medical College, Mirzapur, Tangail, Bangladesh 3 Department of Microbiology, Bangladesh Institute of Child Health, Dhaka Shishu Hospital, Dhaka, Bangladesh 4 Department of Medical Informatics, Kennedy Krieger Institute, Johns Hopkins Medical Institutions, Baltimore, MD, USA 5 Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 1 Department of Neonatology, Bangladesh Institute of Child Health, Dhaka Shishu Hospital, Dhaka, Bangladesh |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/17985826$$D View this record in MEDLINE/PubMed |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Correspondence and reprint requests should be addressed to: Dr. Gary L. Darmstadt Department of International Health, E8153 Bloomberg School of Public Health Johns Hopkins University 615 North Wolfe Street Baltimore, MD 21205 USA Email: gdarmsta@jhsph.edu Fax: 410-614-1419 |
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Snippet | Oil massage of newborns has been practised for generations in the
Indian sub-continent; however, oils may vary from potentially
beneficial, e.g. sunflower seed... Oil massage of newborns has been practised for generations in the Indian sub-continent; however, oils may vary from potentially beneficial, e.g. sunflower seed... |
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SubjectTerms | Acceptability Administration, Topical Aromatherapy Babies Bangladesh Bathing Childrens health Cross Infection - prevention & control Emollient Emollients Female Hospital admissions Hospitalization Hospitals Humans Hypothermia - prevention & control Infant Care - methods Infant, Newborn Infants Infection Control - methods Male Massage Massage - methods Medical practice Mustard Plant Mustards Newborns Oil Oil massage Patient Acceptance of Health Care Pediatrics Petroleum Plant Oils Prospective Studies Seeds SHORT REPORT Skin Skin - microbiology Skin Care - methods Sunflower Oil Sunflower seeds |
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Title | Acceptability of Massage with Skin Barrier-enhancing Emollients in Young Neonates in Bangladesh |
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