Midwives as influencers in skin care for newborns at risk of atopic diseases: Survey of midwives’ current recommendations

Abstract

Introduction: The prevalence of atopic diseases remains high. Initial studies suggest that primary prevention with regular basic care may influence the incidence of atopic dermatitis in infants; however, data are unclear. Midwives play an important role in the care of women in the peripartum period and therefore also in providing advice on topics such as skin care, breastfeeding and nutrition of the newborn and young infant. The aim of this study was to determine the care recommendations for newborns by midwives. Methods: We conducted a cross-sectional survey among German midwives using questionnaires on the topic of newborn skin care. Results: A total of 128 questionnaires were analyzed. The most common recommendations were oil-based herbal topicals (34.9%) and plain water (34.0%). Approximately 70% of midwives reported recommending various options when there was a known family history of atopic diathesis. It was remarkable that most of the midwives’ recommendations were identical regardless of the presence of an atopic diathesis. Essential care products are only used “when necessary”. Conclusion: Training programs for midwives on the topic of “care and strengthening of the skin barrier”, taking into account the current guidelines for allergy prevention, should be implemented.