a. The amount of time required for the initial bath is determined by local policy.

If the infant’s temperature is greater than 98ºF rectally, the bath may be done after all admission procedures are done. Otherwise, wait until the infant’s temperature has stabilized above 98ºF.

b. The procedure for actually completing the bath is also determined by local policy.

Allow the parent to participate if possible. Remove as much of the vernix as possible. Some may not come off during the first bath because it is so “sticky.”

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Brookside Note: Many pediatricians are less aggressive in removing vernix, as they believe it has a protective effect on the newborn’s skin, and aggressive efforts to remove it may be traumatic for the skin.