Study Overview
The study investigated the use of skin barrier-enhancing emollients in preterm neonates (<33 weeks gestational age) in Bangladesh. It compared the effects of high-linoleate sunflower seed oil, Aquaphor Original Emollient Ointment™, and usual care (no emollient) on neonatal skin health. The study's primary goal was to assess the acceptability and potential benefits of these emollients.Key Findings
- Oil massage was common among preterm infants before hospital admission, with mustard oil being the most frequently used (88%).
- Emollient therapy with sunflower seed oil or Aquaphor was perceived by many families as superior to mustard oil.
- 42% of mothers reported that the emollient used in the hospital was better than what they used at home.
- No adverse effects were reported from the use of hospital-applied emollients.
Implications for Practice
The study's findings underscore the potential benefits of using skin barrier-enhancing emollients in neonatal care, particularly for preterm infants. Here are actionable steps practitioners can take based on the study:1. Educate Caregivers
Provide information to caregivers about the benefits of using skin barrier-enhancing emollients like sunflower seed oil over traditional oils such as mustard oil. Emphasize the improved skin condition and barrier function, which can reduce the risk of infections and enhance overall neonatal health.2. Implement Emollient Therapy
Incorporate the use of high-linoleate sunflower seed oil or Aquaphor into routine neonatal care protocols. Ensure that these emollients are applied regularly to preterm infants, following the regimen used in the study (three times daily for the first 14 days, then twice daily until discharge).3. Monitor and Evaluate
Continuously monitor the skin health of neonates receiving emollient therapy. Document any changes in skin condition, incidence of infections, and overall health outcomes. This data can help further validate the benefits of emollient therapy and refine care practices.4. Advocate for Policy Changes
Work with healthcare institutions and policymakers to promote the adoption of skin barrier-enhancing emollients in neonatal care protocols. Highlight the study's findings to support the case for widespread implementation.Encouraging Further Research
While the study provides compelling evidence of the benefits of skin barrier-enhancing emollients, further research is needed to explore long-term outcomes and optimize application protocols. Practitioners are encouraged to engage in or support ongoing research efforts in this area.To read the original research paper, please follow this link: Acceptability of Massage with Skin Barrier-enhancing Emollients in Young Neonates in Bangladesh
