FIELD OF THE INVENTION
[001] The present invention generally relates to esthiology.
[002] More particularly, the present invention relates to the neonatal skin care
process.
BACKGROUND FOR THE INVENTION:
[003] By reference to CN application no. CN209917061U by Zhang Xiaoyuan
dated 2019-03-28, titled” Cream applicator for skin care of newborn” discloses a
neonate protects skin and uses cream obliterator relates to skin care apparatus
technical field, specifically is a neonate protects skin and uses cream obliterator,
including the hand (hold), the outer fixed surface of hand (hold) is connected with
the contact cover, one side swing joint that the hand (hold) surface is close to the
contact cover has the press lever, the bottom fixedly connected with extrusion
spring according to the press lever, the one end fixedly connected with triangle
fixed block of extrusion spring, the support slide has been seted up according to the
surface of press lever, the inside fixedly connected with backup pad of hand (hold),
one side fixedly connected with bracing piece of backup pad, the surface of backup
pad is close to one side of bracing piece and has seted up the. According to the
cream applicator for skin care of the newborn, due to the arrangement of the cream
frame, a user applies the cream applicator through the wiping sheet on one side of
the cream frame, the purpose of convenience in use is achieved, and the condition
that the handle surface is too smooth to cause the falling of the handle is avoided
due to the arrangement of the contact sleeve.
[004] By reference to CN application no. CN215961079U by Individual dated
2021-08-31, titled” Oxygen device capable of sensitively adjusting temperature for
skin nursing and heating of neonates” discloses an oxygen device capable of
sensitively adjusting temperature for skin nursing and heating of a newborn, which
comprises a device main body, an oxygen input port and a wind gathering port,
wherein the bottom end of the device main body is fixedly connected with the
oxygen input port, the left side of the device main body is movably connected with
the wind gathering port, the wind gathering port can gather and blow out the sent
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oxygen, a protective net in a temperature monitoring mechanism can prevent
particulate matters from being sucked into a wind returning pipe to prevent the
device from normally working, a fan in the wind returning pipe sucks the used
oxygen into the wind returning pipe and discharges the oxygen from the wind
returning port, so that the skin for oxygen therapy always uses the proper and fresh
oxygen, a transparent cover can be directly covered on the body part of the newborn
to form a relatively independent environment, the internal condition is clear, a
storage battery in the temperature adjusting mechanism provides electric power, the
touch display screen sets the temperature of the input oxygen according to the self
condition of the newborn, thereby improving the practicability of the device.
[005] By reference to CN application no. CN109364363A by Sunbo dated 2018-
12-07, titled” A kind of newborn skin nutriment device” discloses a kind of
newborn skin nutriment devices, including nutriment box, the outer surface of the
nutriment box is equipped with air bag, the side surface of air bag is equipped with
connecting tube, connecting tube is penetrated in nutriment box and is connected to
gas outlet, the lower surface of the nutriment box is equipped with discharge nozzle,
the bottom end of discharge nozzle is equipped with massage head, the lower
surface of the nutriment box is equipped with fixed lid, the upper surface of the
nutriment box is equipped with swing handle, swing handle is penetrated inside
nutriment box and is connect with shaft, and the both side surface of the shaft is
evenly arranged with paddle.This newborn skin nutriment device, it is easy to
operate, it is easy to use, nutriment can be carried out protecting gentle agitation
etc., it is vdiverse in function, improve the nursing efficacy to skin, by pressing
pressuring gasbag, presses into nutriment box, flowed out convenient for nutriment
from discharge nozzle, nutriment can be uniformly smeared by massage head and
skin is massaged, and improve assimilation effect.
[006] By reference to CN application no. CN215424304U by Shenzhen Wodalong
Medical Group Co ltd dated 2021-01-13, titled” Baby washing table with
temperature adjusting function” discloses an infant washing table with a
temperature adjusting function, which comprises a table top and a temperature
adjusting pipe, wherein a mirror is mounted in the middle of the table top through
screws, a washing pool is arranged below the mirror in parallel, supports are
arranged on the left side and the right side of the lower portion of the washing pool,
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a handle is arranged on the left side of each support, the temperature adjusting pipe
is located below the washing pool, a control panel is arranged on the right side of
the temperature adjusting pipe, a display screen is attached to the upper portion of
the front end of the control panel, and indicator lamps are arranged below the
display screen in parallel. According to the baby washing table with the temperature
adjusting function, through the relationship between the ventilation opening and the
base, when the baby washing table is used, heat generated by parts in the baby
washing table can be timely evacuated, blockage is prevented, and the service life of
the baby washing table is prolonged; through the cooperation between display
screen and the control panel, the device can carry out accurate demonstration to the
inside temperature of device when using, prevents to produce the injury to the
neonate.
[007] By reference to CN application no. CN217090479U by Individual dated
2021-12-23, titled” Neonate nurses and uses bath device” discloses a paediatrics
nursing technical field, and disclose a neonate nurses with bathing device, including
the bottom plate, bottom plate top surface installation water tank, water tank top
surface installation bathtub, the water tank openly installs the hose, and the gondola
water faucet is connected to hose end, and the fixture block is installed to the
gondola water faucet bottom, installs heating rod and water pump in the water tank,
and temperature detect switch is connected to heating rod one end, water tank sidemounting inlet tube, and the recess is seted up to the water tank top surface, and the
bathtub includes service creeper, cushion, slide rail, holding rod, otic placode and
foot stool. The utility model discloses an installation cushion and service creeper in
the bathtub, place on the service creeper below the buttock of neonate when bathing
for the neonate, the back of neonate then leans on the cushion, and the service
creeper sets up the delicate skin of silica gel pad can protection neonate with the
cushion top surface, sets up the nursing staff of being convenient for of service
creeper and cushion and makes the neonate's health, saves nursing staff hand rest
neonate and causes the arm ache.
[008] By reference to US application no. US2015182131A1 by Mohamed R.
Mahfouz, Gary To, Mark S. Gaylord, Vichien Lorch dated 2014-10-28, titled”
Neonatal health care monitoring system” discloses a neonatal monitoring system
comprising: (a) a substrate comprising at least one of bedding and a garment for a
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patient, the substrate including at least four vibration sensors and a pressure sensor
array; (b) a computer communicatively coupled to the at least four vibration sensors
to receive output data from each of the at least four vibration sensors, where the
computer includes at least one algorithm for filtering and conditioning output data
received from the at least four vibration sensors; and, (c) a visual, display
communicatively coupled to the computer for displaying information regarding the
patient condition.
[009] By reference to US application no. US2014238413A1 by University of
Virginia Patent Foundation dated 2014-02-24, titled” Neonatal thermal device and
related method thereof” discloses protection for a neonatal subject by providing a
barrier to the environment that protects the subject from the loss of heat, water and
moisture. The neonatal drape device functions as protection primarily by providing
a barrier to the environment from the neonatal subject. The neonatal drape device
for wrapping a neonatal subject provides the ability of the neonatal drape device to
be repeatably self-adhesive and repeatably wrap around medical devices, tools,
instruments, implements, parts of anatomy, or any other object protruding from the
inside of the neonatal drape device to the outside of the neonatal drape device. The
pliable nature of the material allows it to conform to the protruding object or a
portion of anatomy, providing protection to the neonatal subject while also allowing
repeatable access to the neonatal subject by the protruding object, or the uncovering
of select portions of anatomy.
[010] By reference to US application no. US2005234315A1 by CritiSense Ltd
dated 2003-03-06, titled” Diagnosis of body metabolic emergency state ” discloses
an apparatus, system and method are provided for diagnosing the degree of body
metabolic emergency state. A non-vital organ with respect to the metabolic
emergency state is first chosen. One or more tissue viability parameters including at
least one of NADH and Flavoprotein (Fp) concentration are monitored in the nonvital organ, whereupon the degree of body metabolic emergency state may be
determined based on the monitored tissue viability parameters.
[011] However, none of the above-discussed inventions provides such a
neonatal skin care process. The process comprises a plurality of steps.
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OBJECTS OF THE INVENTION:
[012] Some of the objects of the present disclosure, which at least one embodiment
herein satisfies, are as follows.
[013] The main object of the present invention is to provide a neonatal skin care
process.
[014] Another object of the invention is to provide a protective mechanism for the
acid mantle.
[015] Another object of the invention is to provide a neonatal skin condition score.
[016] Another object of the invention is to provide an acid skin surface that is
credited with bactericidal qualities against some pathogens and helps in defense
against infection.
[017] Another object of the invention is to provide a facilitated assessment of
neonatal skin condition.
[018] Other objects and advantages of the present disclosure will be more apparent
from the following description, which is not intended to limit the scope of the
present disclosure.
SUMMARY OF THE INVENTION:
[019] According to one aspect of our invention, neonatal skin care process
comprising the steps of: identify neonatal skin condition score: a) choose the
description that best fits the neonate's skin; b) related to dryness, erythema, and
break down / excoriation and assign the number most appropriate per description; c)
each section is given a score from 1 to 3; d) the "perfect" score using the NSCS is 3
and the worst score is 9; Bathing after the initial bath: premature infants: e) first 2
weeks of life: bath 3 times per week with warm water only; f) Use warm sterile
water if the skin is excoriated or if the; g) skin is extremely thin (usually found in
very premature infants)’ h) after 2 weeks of life: Bath 3 times per week with a low
alkaline soap (such as Dove, Pears) or any available baby soap; i) On alternative
days warm water or sterile water may be used if needed; j) Term infants or
premature infants greater than 1 month of age: Bathe 3 times a week with a mild
baby soap; k) Bath should be given more frequently as needed.
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BRIEF DESCRIPTION OF DRAWINGS:
[020] Reference will be made to embodiments of the invention, examples of which
may be illustrated in accompanying figures. These figures are intended to be
illustrative, not limiting. Although the invention is generally described in the context
of these embodiments, it should be understood that it is not intended to limit the
scope of the invention to these particular embodiments.
[021] Figure 1: illustrates a neonatal skin care process, as per an embodiment of
the present invention.
[022] The referral numerals in the figures refer to: 1 - neonatal skin care process.
BRIEF DESCRIPTION OF INVENTION:

[023] The present invention will now be described hereinafter with reference to the accompanying drawings, in which some, but not all embodiments of the invention are shown. While the following description details the preferred embodiments of the present invention is not limited in its application to the details of construction and arrangement of the parts illustrated in the accompanying drawings. With reference to the figures, the enclosed description and drawings are merely illustrative of preferred embodiments and represent several different ways of configuring the present invention. Although specific components, materials, configurations and uses of the present invention are illustrated and set forth in this disclosure, it should be understood that a number of variations to the components and to the configuration of those components described herein and in the accompanying figures can be made without changing the scope and function of the invention set forth herein.
[024] The present invention proposes a neonatal skin care process comprising the steps of: identify neonatal skin condition score: a) choose the description that best fits the neonate's skin; b) related to dryness, erythema, and break down / excoriation and assign the number most appropriate per description; c) each section is given a score from 1 to 3; d) the "perfect" score using the NSCS is 3 and the worst score is 9; Bathing after the initial bath: premature infants: e) first 2 weeks of life: bath 3 times per week with warm water only; f) Use warm sterile water if the skin is excoriated or if the; g) skin is extremely thin (usually found in very premature infants)’ h) after 2 weeks of life: Bath 3 times per week with a low alkaline soap (such as Dove, Pears) or any available baby soap; i) On alternative days warm water or sterile water may be used if needed; j) Term infants or premature infants greater than 1 month of age: Bathe 3 times a week with a mild baby soap; k) Bath should be given more frequently as needed.
[025] The present invention as illustrated in Figure 1 provides another embodiment of the invention which includes a neonatal skin care process.
[026] In another embodiment, Neonatal skin is fragile, and the premature infant's skin is also underdeveloped. The skin may be highly susceptible to skin breakdown. Increased skin permeability is a major concern that allows the infant to absorb topical medication, chemical preparations, and lotions through their skin, thus placing the infant at risk for toxicity and infections. This increase in skin permeability places the infant at risk for insensible water loss and temperature instability. The neonate’s skin does not mature for approximately 2 weeks. The premature infant skin does not mature for 2-3 weeks.
[027] In another embodiment, protective Mechanism: Acid Mantle The functional capacity of the skin to form an acid mantle (i.e. surface pH<5) results in a protective barrier to the environment as long as the skin stays intact. An acid skin surface is credited with bactericidal qualities against some pathogens and helps in defense against infection. In the newborn the skin pH immediately after birth is 6.34 with a decline to 4.95 within 4 days; whereas in the low birth weight infants the mean skin pH is 6.7 at birth and 5.0 by the eighth day of life.
[028] In another embodiment of the invention, Immediately following birth colonization with microbial organisms also begins. These organisms grow in a state of equilibrium providing protection against invading pathogenic organisms. A rise in pH towards neutral (7.0) causes an increase in the total number of bacteria and changes in the flora present. Washing infants with soap can change the pH of the skin, destroying the skin mantle. After bathing the infant with soap and water it takes at least one hour for the acid mantle to be replaced putting the infant at risk for infections during this time period. Lotion and cream can also destroy the composition of the acid mantle and bacterial flora.
[029] In another embodiment, these neonatal skin care guidelines are based on the National Association of Neonatal Nurses' guidelines for neonatal skin care. Neonatal Skin Condition Score (NSCS) The Neonatal Skin Condition Score (NSCS) is reliable when used by single and multiple raters to assess neonatal skin condition, even across weight groups and racial groups. Validity of the NSCS could be demonstrated by confirmation of the relationship of the skin condition scores with birth weight, number of observations, and prevalence of infection. It can facilitate assessment of neonatal skin condition. It is very easy to use, and should be a part of daily skin assessment documentation.
[030] In another embodiment, neonatal skin condition score (NSCS) dryness:
1= Normal, no sign of dry skin.
2= Dry skin, visible scaling.
3= Very dry skin, cracking/ fissures.
Erythema
1= No evidence of erythema.
2= Visible erythema, < 50% body surface.
3= Visible erythema, > 50% body surface.
Break down/Excoriation
1= None evident.
2= Small, localized areas.
3= Extensive.
In another embodiment, Directions for use has been provided:
? To identify a Neonatal Skin Condition Score (NSCS), choose the description that best fits the neonate's skin related to dryness, erythema, and break down / excoriation and assign the number most appropriate per description.
? Each section is given a score from 1 to 3.
? The "perfect" score using the NSCS is 3; the worst score is 9.
[031] In another embodiment, bathing after the initial bath:
• Premature Infants
- First 2 weeks of life: Bath 3 times per week with warm water only.
- Use warm sterile water if the skin is excoriated or if the skin is extremely thin (usually found in very premature infants),
- After 2 weeks of life: Bath 3 times per week with a lowalkaline soap (such as Dove, Pears) or any available baby soap. On alternative days warm water or sterile
water may be used if needed.
• Term infants or premature infants greater than 1 month of age: Bathe 3 times a week with a mild baby soap. Bath should be given more frequently as needed.

[032] In another embodiment, perineal care is given using water soaked cotton to the buttocks and perianal region when soiled. Use sterile water if excoriation is present or the skin is extremely thin. A mild, low alkaline soap or baby soap and water can be used to remove heavily soiled areas. As soon as the baby is wet, change the diaper and dry the area after cleaning with warm water soaked cotton wool before replacing a new diaper consisting of soft linen or gauze and cotton. Oral care given with Moisten mucous membranes and lips with water soaked gauze or soft cotton wipes. Oral care may be required for infants taking regular oral feedings. Cord care given with the umbilical cord is a frequent site for colonization with bacteria. It is a port of entry for harmful bacteria and a common site for local infection. This can predispose to systemic sepsis. Cut the cord with a sterile blade about 2 cm away from the skin after clamping/tying the cord with clamp or a sterile tie. Inspect the cord 2-4 hours after birth. Bleeding may occur due to shrinkage of cord and loosening of the ligature. Check clamp is in lock. One application of triple dye should be placed on the cord after birth if the need for a UAC/UVC it, not anticipated (avoid applying triple dye to skin) Utilize alcohol in cleanse around the base of the cord after each diaper change avoid contact with skin). Cord normally separates after 5-10 days (early in summers) but may take longer if it has been kept moistened or when it gets infected. Separation of the cord may be accompanied by slight serosanguinous discharge. This is not an indication of Infection. Clean the base with an alcohol swab after the cord falls off. To prevent infection the cord should be kept clean and dry.
[033] The present disclosure described herein above has several technical advantages including, but not limited to,
? reduced antimicrobial colonization of the new-borns skin, while at the same time utilizing principles related to neonatal skin physiology, in order to maintain skin integrity.
[034] The disclosure has been described with reference to the accompanying embodiments herein and the various features and advantageous details thereof are explained with reference to the non-limiting embodiments in the following description. Descriptions of well-known components and processing techniques are omitted so as to not unnecessarily obscure the embodiments herein.
[035] The foregoing description of the specific embodiments so fully revealed the general nature of the embodiments herein that others can, by applying current knowledge, readily modify and/or adapt for various applications such specific embodiments without departing from the generic concept, and, therefore, such adaptations and modifications should and are intended to be comprehended within the meaning and range of equivalents of the disclosed embodiments. It is to be understood that the phraseology or terminology employed herein is for the purpose of description and not of limitation. Therefore, while the embodiments herein have been described in terms of preferred embodiments, those skilled in the art will recognize that the embodiments herein can be practiced with modification within the scope of the embodiments as described herein.

We Claims:

1. A neonatal skin care process comprising the steps of: identify neonatal skin condition score: a) choose the description that best fits the neonate's skin; b) related to dryness, erythema, and break down / excoriation and assign the number most appropriate per description; c) each section is given a score from 1 to 3; d) the "perfect" score using the NSCS is 3 and the worst score is 9; Bathing after the initial bath: premature infants: e) first 2 weeks of life: bath 3 times per week with warm water only; f) Use warm sterile water if the skin is excoriated or if the; g) skin is extremely thin (usually found in very premature infants)’ h) after 2 weeks of life: Bath 3 times per week with a low alkaline soap (such as Dove, Pears) or any available baby soap; i) On alternative days warm water or sterile water may be used if needed; j) Term infants or premature infants greater than 1 month of age: Bathe 3 times a week with a mild baby soap; k) Bath should be given more frequently as needed.