9/13/10

Beautiful Vernix Caseosa

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The vernix caseosa is the waxy looking white substance that covers your newborn baby. When you see videos of a birth on television, you may see the doctors wiping off the “dirty” looking baby. Don't rush to rub off this wonderful stuff off your brand new baby... it has been found to have some fantastic properties...
STUDY: ANTIMICROBIAL PROPERTIES OF AMNIOTIC FLUID AND VERNIX CASEOSA ARE SIMILAR TO THOSE FOUND IN BREAST MILK


Akinbi, H. T., Narendran, V., Pass, A. K., Markart, P., & Hoath, S. B. (2004). Host defense proteins in vernix caseosa and amniotic fluid. American Journal of Obstetrics and Gynecology, 191(6), 2090–2096.

Summary
In this study, researchers analyzed samples of amniotic fluid and vernix caseosa (vernix) from healthy, term gestations to determine the immune properties of these substances. Participants were pregnant women admitted for elective cesarean section after 37 weeks gestation with no prior labor and no signs of chorioamnionitis (intrauterine infection). Women with a history of prenatal fever or premature rupture of membranes, or who received steroids prenatally or antibiotics while giving birth were excluded, as were women whose babies passed meconium in utero, had congenital malformations, or required prolonged resuscitation after birth. Amniotic fluid was obtained by amniocentesis to determine fetal lung maturity prior to elective birth. Vernix was gently scraped from the newborn's skin with a sterile implement immediately following birth. The researchers obtained 10 samples of amniotic fluid and 25 samples of vernix.

Tests (Western analysis and immunochemistry) revealed that lysozyme, lactoferrin, human neutrophil peptides 1–3, and secretory leukocyte protease inhibitor were present in the amniotic fluid samples and in organized granules embedded in the vernix samples. These immune substances were tested using antimicrobial growth inhibition assays and found to be effective in inhibiting the growth of common perinatal pathogens, including group B. StreptococcusK. pneumoniaeL. monocytogenesC. albicans, and E. coli.

The authors point out that the innate immune proteins found in vernix and amniotic fluid are similar to those found in breast milk. As the baby prepares for extrauterine life, pulmonary surfactant (a substance produced by the maturing fetal lungs) increases in the amniotic fluid, resulting in the detachment of vernix from the skin. The vernix mixes with the amniotic fluid and is swallowed by the growing fetus. Given the antimicrobial properties of this mixture, the authors conclude that there is “considerable functional and structural synergism between the prenatal biology of vernix caseosa and the postnatal biology of breast milk” (p. 2095). They also suggest that better understanding of these innate host defenses may prove useful in preventing and treating intrauterine infection.

Significance for Normal Birth

Routine artificial rupture of membranes increases the likelihood of intrauterine infection because it eliminates the physical barrier (the amniotic sac) between the baby and the mother's vaginal flora. This study suggests an additional mechanism for the prevention of infection when the membranes remain intact: A baby bathed in amniotic fluid benefits from antimicrobial proteins that are found in the fluid and in vernix caseosa.

The results of this study also call into question the routine use of some newborn procedures. Early bathing of the baby removes vernix, which contains antimicrobial proteins that are active against group B. streptococcus and E. coli. Delaying the bath and keeping the newborn together with his or her mother until breastfeeding is established may prevent some cases of devastating infections caused by these bacteria. The fact that preterm babies tend to have more vernix than babies born at or after 40 weeks might mean that healthy, stable preterm babies derive even greater benefit from staying with their mothers during the immediate newborn period.

Finally, this study illustrates how the normal physiology of pregnancy and fetal development is part of a continuum that extends beyond birth to the newborn period. The immunologic similarities between amniotic fluid, vernix, and breast milk provide further evidence that successful initiation of breastfeeding is a critical part of the process of normal birth.


So mamas, rub that vernix in instead of rubbing it off!



Sources:

Wonderful Vernix & Amniotic Fluid: http://sheffieldhypnobirthing.co.uk

4 comments:

  1. Amazing and fascinating. I also strongly believe that the smells of amniotic fluid and vernix and "new baby" play an important role in the bonding process. I bonded far more intensely with my third baby (who didn't get shampooed for over a week after birth) than I had ever bonded before. This post just gives me even more reason to delay bathing with baby #4 (on the way)! Thanks!

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  2. This makes so much sense! Mother nature is very smart. I wish we would follow her lead more often. Thanks for the informative post!

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  3. Yes! When I had my daughter in 2008 the nurses were baffled that I refused to have them bathe her. Why are people so ignorant to mother nature's benefits?

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  4. I love this post! When my partner and I were writing our birth plan, we were very adamant about keeping the vernix on our son's skin for it to be absorbed naturally. To our surprise, when we made this request, our midwife responded with: "why would we wipe off the vernix? That is just crazy!" we later found out that wiping the vernix off of the skin was against hospital policy (even the OBs leave it alone) and once again we were overjoyed with where we chose to labor.

    As a side note, I wanted to let you know that I enjoy your blog so much! I am currently in school to become a Psychiatric Mental Health Nurse Practitioner, and after finishing my masters, my goal is to become a doula. I just don't really know where to begin.

    In Christ,
    Anne Marie Hiestand
    faithfeminismfamily.blogspot.com

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