Neonatal skincare: why change is vital.

'Newborn skin is thinner, more permeable and less able to withstand the sensitising effects of modern detergents. It is also important to remember that anything placed on, in or around a baby has the capacity to harm' (Trotter, 2004a). The anatomical and functional differences of neonatal skin have been thoroughly reported over the years and there is now a body of evidence to support the above statement (Fatter, 1997; Gelmetti, 2001; Lund, 2001a, 2001b; Medves, 2001; Ertel, 2003; Trotter, 2002, 2004a). The aim of this article is to inform midwives about the potential dangers of chemical ingredients used in personal care products and to suggest simpler skincare regimes. It is anticipated that doing so will reduce the risks of conditions like eczema, asthma and related allergies.

Management of the umbilical cord--a guide to best care.

Updating cord care, using evidence-based research, is the best way forward for midwives everywhere. Only then, can we teach women to care for their infants in the safest possible way. This will not only avoid confusion, but also will lead to continuity of care and reduced infection rates. Lastly, but not to be underestimated, is cost-effectiveness. Savings can be made as a result of the reduced need to use antiseptic products. Added to this is the potential savings to be made in midwives' time, which is the most expensive commodity in the care of mother and baby. At present, extra visits are usually as a direct result of cord separation problems. Finally there is the cost, both financial and emotional, of neonatal mortality and morbidity, as a result of omphalitis.

Skincare for the newborn: exploring the potential harm of manufactured products.

Many midwives routinely bath newborns using baby bath products believing these products are mild and suitable for delicate skins. This paper asks midwives to reconsider their role in the promotion of manufactured skincare products.