Abstract
A survey of 23 perinatal units in New Brunswick hospitals was conducted by means of a mailed questionnaire to determine the type of care provided to newborns. The results showed various degrees of conformity with published guidelines for the care of newborns. Deficiencies were noted in several areas of care: failing to give or improperly giving vitamin K1 prophylaxis (in 7 of the units), flushing the eyes after silver nitrate prophylaxis (in 10), using hexachlorophene to bathe newborns (in 11) and delaying the first feeding up to 12 hours (in 3). It is essential to provide appropriate support to newborns as they adjust to a new environment and to ensure that alternative practices are in keeping with current scientific knowledge.
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Selected References
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- Chaou W. T., Chou M. L., Eitzman D. V. Intracranial hemorrhage and vitamin K deficiency in early infancy. J Pediatr. 1984 Dec;105(6):880–884. doi: 10.1016/s0022-3476(84)80070-0. [DOI] [PubMed] [Google Scholar]
- Curley A., Kimbrough R. D., Hawk R. E., Nathenson G., Finberg L. Dermal absorption of hexochlorophane in infants. Lancet. 1971 Aug 7;2(7719):296–297. doi: 10.1016/s0140-6736(71)91337-7. [DOI] [PubMed] [Google Scholar]
- DAVIDSON H. H., HILL J. H., EASTMAN N. J. Penicillin in the prophylaxis of ophthalmia neonatorum. J Am Med Assoc. 1951 Apr 7;145(14):1052–1055. doi: 10.1001/jama.1951.02920320026007. [DOI] [PubMed] [Google Scholar]
- Gehlbach S. H., Gutman L. T., Wilfert C. M., Brumley G. W., Katz S. L. Recurrence of skin disease in a nursery: ineffectuality of hexachlorophene bathing. Pediatrics. 1975 Mar;55(3):422–424. [PubMed] [Google Scholar]
- Gowdy J. M., Ulsamer A. G. Hexachlorophene lesions in newborn infants. Am J Dis Child. 1976 Mar;130(3):247–250. doi: 10.1001/archpedi.1976.02120040025005. [DOI] [PubMed] [Google Scholar]
- Halling H. Suspected link between exposure to hexachlorophene and malformed infants. Ann N Y Acad Sci. 1979 May 31;320:426–435. [PubMed] [Google Scholar]
- Hammerschlag M. R., Chandler J. W., Alexander E. R., English M., Chiang W. T., Koutsky L., Eschenbach D. A., Smith J. R. Erythromycin ointment for ocular prophylaxis of neonatal chlamydial infection. JAMA. 1980 Nov 21;244(20):2291–2293. [PubMed] [Google Scholar]
- Hnatko S. I. Alternatives to hexachlorophene bathing of newborn infants. Can Med Assoc J. 1977 Aug 6;117(3):223–226. [PMC free article] [PubMed] [Google Scholar]
- Kopelman A. E. Cutaneous absorption of hexachlorophene in low-birth-weight infants. J Pediatr. 1973 Jun;82(6):972–975. doi: 10.1016/s0022-3476(73)80427-5. [DOI] [PubMed] [Google Scholar]
- Larson E. Effects of handwashing agent, handwashing frequency, and clinical area on hand flora. Am J Infect Control. 1984 Apr;12(2):76–82. doi: 10.1016/0196-6553(84)90020-8. [DOI] [PubMed] [Google Scholar]
- Lockhart J. D. How toxic is hexachlorophene? Pediatrics. 1972 Aug;50(2):229–235. [PubMed] [Google Scholar]
- Malia R. G., Preston F. E., Mitchell V. E. Evidence against vitamin K deficiency in normal neonates. Thromb Haemost. 1980 Dec 19;44(3):159–160. [PubMed] [Google Scholar]
- McNinch A. W., Orme R. L., Tripp J. H. Haemorrhagic disease of the newborn returns. Lancet. 1983 May 14;1(8333):1089–1090. doi: 10.1016/s0140-6736(83)91921-9. [DOI] [PubMed] [Google Scholar]
- Nishida H., Risemberg H. M. Silver nitrate ophthalmic solution and chemical conjunctivities. Pediatrics. 1975 Sep;56(3):368–373. [PubMed] [Google Scholar]
- O'Connor M. E., Livingstone D. S., Hannah J., Wilkins D. Vitamin K deficiency and breast-feeding. Am J Dis Child. 1983 Jun;137(6):601–602. doi: 10.1001/archpedi.1983.02140320077020. [DOI] [PubMed] [Google Scholar]
- Shearer M. J., Rahim S., Barkhan P., Stimmler L. Plasma vitamin K1 in mothers and their newborn babies. Lancet. 1982 Aug 28;2(8296):460–463. doi: 10.1016/s0140-6736(82)90493-7. [DOI] [PubMed] [Google Scholar]
- Shuman R. M., Leech R. W., Alvord E. C., Jr Neurotoxicity of hexachlorophene in humans. II. A clinicopathological study of 46 premature infants. Arch Neurol. 1975 May;32(5):320–325. doi: 10.1001/archneur.1975.00490470064009. [DOI] [PubMed] [Google Scholar]
- van Doorm J. M., Muller A. D., Hemker H. C. Heparin-like inhibitor, not vitamin-K deficiency, in the newborn. Lancet. 1977 Apr 16;1(8016):852–853. doi: 10.1016/s0140-6736(77)92795-7. [DOI] [PubMed] [Google Scholar]
