Dr. Mersch received his Bachelor of Arts degree from the University of California, San Diego, and prior to entering the University Of Southern California School Of Medicine, was a graduate student (attaining PhD candidate status) in Experimental Pathology at USC. He attended internship and residency at Children's Hospital Los Angeles.
Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Select a safe and flat surface on which to work. Make it comfortable for your baby by putting down a soft, clean towel.
Place your supplies within easy reach of the bathing area.
Get baby ready. If the room is warm, you can remove all of baby's clothing before beginning, covering him or her loosely with a towel while you work. If it is cool in the room, undress each body part of the body as you are ready to wash it. Do not remove baby's diaper until you are ready to cleanse that area.
Always keep one hand on your baby for his or her safety.
If someone else is available, have them take a picture to commemorate this very tender milestone of baby and parenthood.
Begin washing. Take time to admire your baby's body -- all too often we bundle up our babies and never adore those precious feet or that soft bottom. It is a good idea to wash a newborn's hair near the end of bath time. This will help prevent him or her from losing too much body heat.
Face. Using a soft cloth moistened in warm water, clean your baby's eyes, wiping gently from the nose outward. No soap is needed. Wipe around your baby's mouth, nose, forehead, cheeks, and chin. Wipe around the outer ears but not inside. Dry all parts of the face.
Neck and chest. Again, soap is not necessary unless baby is sweaty, smelly, or dirty. Be sure to get into those abundant creases where spit up is likely to collect. Dry.
Arms. Open the arms to get into the elbow creases, and press the palms to open the fist. The hands will need a bit of soap, but be sure to rinse them well before they are back in baby's mouth. Dry.
Back. Turn baby over on the tummy with the head to one side, and wash the back, being sure not to miss the neck folds. Dry, and dress the upper body before continuing if the room is chilly.
Legs. Extend the legs to get the back of the knees. If your baby seems up to it, massage the feet or play "This little piggy" with your baby's toes. Dry.
Head. Once or twice a week, use soap or baby shampoo, rinsing very thoroughly. On interim days, use just water. A football hold at the sink's edge can be the easiest and most comfortable way to rinse baby's head. Before proceeding, dry your baby's hair
and then place the hood of the towel or an infant cap on his or her head to help maintain body heat.
Cord care. Recently, the American Academy of Pediatrics (AAP) has modified the guidelines for umbilical cord care. The new recommendations favor cleansing the stump with warm water if necessary. Rubbing alcohol cleaning is not indicated. When the stump dries out and falls off (usually between
one to three weeks after birth), you will be able to give your baby a tub bath.
Diaper area. Grab a new washcloth to clean the genitals. Wash girls front to back, spreading the labia and cleaning gently with a washcloth dipped in soap and warm water. A white vaginal discharge is normal; don't try to scrub it away. Rinse gently with warm water. Wash boys carefully, getting into all the creases with soap and warm water. For the circumcised baby, while he is still healing, put a fresh
application of petroleum jelly over the wound. For the uncircumcised baby, do not try to retract the foreskin. Dry the diaper area well and apply ointment if needed. Diaper your baby. Circumcisions generally take
five to seven days to heal completely.
Babies generally do not routinely need application of body lotions.