MYTHS IN NEWBORN CARE, SEARCH FOR EVIDENCE

In neonatology, as in other specialties, there are indications and clinical practices that are applied without having solid scientific evidence. In this article, we analyzed common clinical practices with Critical Appraisal Topic (CAT) methodology. Our conclusions are based on the following evidence: Search results: - Newborn's first bath can be carried out after 24 hours of life without risk and with associated benefits. - Dry cleansing of the umbilical cord is preferable to antiseptics in countries with good health indices and a low rate of omphalitis. - Delayed umbilical cord drop, by itself and not associated with other infections, is not related with immunodeficiencies. - No evidence of contraindications for taking newborns outside their homes during their neonatal period was found. - Isolated preauricular papilloma is not associated with nephrourinary system malformations. - There is no scientific evidence about the optimal amount of neonatal and infant clothing, only expert recommendations. However, there is evidence of an association between environmental temperature and sudden infant death. Conclusions: Based on these results, we presented proof that these common clinical practices, and many others, should be questioned. Scientific evidence should be seeked in order to make better recommendations for patients that will aid them in their care and with their child, and concurrently avoid harm and higher costs.