Serum bilirubin concentration in breast-fed newborn babies at Larantuka General Hospital, East Flores
Keywords:
neonatal hyperbilirubinemia, bilirubin, breast-feeding
Abstract
Neonatal hyperbilirubinemia is a common problem not only to pediatricians but also to the parents. Breastfeeding is known as one of the factors associated with hyperbilirubinemia. The aim of the study was to determine serum bilirubin concentration and factors related to hyperbilirubinemia in breast-fed newborn babies. A cross sectional study was done on 45 well babies born at Larantuka General Hospital, East Flores, from August to October 1998. Data including personal data, frequency of breast-feeding, frequency of urination, meconium passage, and weight loss, were collected through questionnaires, presented in tables, and analyzed using chi-square test. The prevalence of hyperbilirubinemia in breast-fed babies was 13%. It was correlated significantly with the frequency of breast-feeding (p<0.01), meconium passage (p<0.02), sufficiency of breast milk (p<0.05), and weight loss (p<0.05). The significant risk factors for neonatal hyperbilirubinemia were the frequency of breast-feeding, meconium passage, sufficiency of breast milk, and weight loss. Immediate and frequent breast-feeding is recommended for the management of neonatal hyperbilirubinemia.References
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2. Gurley GR. Bilirubin metabolism and neonatal jaundice. In: Suchy FJ, editors. Liver disease in children. Boston: Mosby; 1994. p. 105-25.
3. Frank CG, Turner BS, Merenstein GB. Jaundice. In: Merenstein GB, Gardner SL. editors. Neonatal intensive care. 3rd ed. St. Louis: Mosby; 1993. p. 272-86.
4. Martinez JC, Maisels MJ, Otheguy L,Garcia H, Savorani M, Mogni B, et al. Hyperbilirubinemia in the breast-fed newborn: A controlled trial of four interventions. Pediatrics 1993;91:470-3.
5. Cloherty JP. Neonatal hyperbilirubinemia. In: Cloherty JP, Stark AR, editors. Manual of neonatal care. 3rd ed. London: Butterworths; 1991. p. 314-8.
6. Boedihardjo SD. Pemberian makanan untuk bayi. In: Endang A, Ina H, Rulina S, editors. Dasar-dasar fisiologis. Jakarta: Perinasia; 1994. p. 21-60.
7. Dina D, Soetjiningsih. ASI tidak cukup. In: Buletin Ilmu Kesehatan Anak FK Unud. Denpasar. Lab Ilmu Kesehatan Anak 1997;45-55.
8. Gartner LM, Herrarias CT, Sebring RH. Practice pattern in neonatal hiperbilirubinemia. Pediatrics 1998;101:25-31.
9. Oski FA. Physiologic Jaundice. In: Taeusch HW, Ballard RA, Avery ME, editors. Diseases of the newborn. 6th ed. Philadelphia: WB Sounders Company; 1991. p. 753-7.
10. Maisels MJ, Newman TB. Kernicterus in otherwise healthy, breast-fed term newborns. Pediatrics 1995;96:730-33.
11. Kemper K, Horwitz RI, Mc Carthy P. Decreased neonatal serum bilirubin with plain agar, a meta-analysis. Pediatrics 1988;82:631-8.
12. Monintja HE. Beberapa aspek ikterus pada bayi baru lahir. In: Naskah lengkap pendidikan tambahan berkala ilmu kesehatan anak ke-9 FKUI. Jakarta: Badan Penerbit
Undip; 1984. p. 1-10.
13. Monintja HE. Sikap rasional terhadap ikterus neonatorum non obstruktif. Dalam: Yu VYH, Monintja HE eds. Beberapa masalah perawatan intensif neonatus. Jakarta: BP FKUI; 1997. p. 231-43.
14. Jaundice in a 5 day-old infant. http://academic.mssnm.edu/ peds/students/case5.html
15. Abdul Hamid S, Aryasa, Suandi. Frequency of breastfeeding and serum bilirubin concentration. Department of Child Health, Medical School UNUD. Denpasar 1986;1-3.
16. Cashore WJ dan Stern L. Neonatal hyperbilirubinemia. Pediatr Clins North Am 1982;29:1191-203.
17. Soetjiningsih. Peran air susu ibu dalam pencegahan dan penatalaksanaan diare akut. In: Soetjiningsi, editors. Seri gizi klinik ASI: Petunjuk untuk tenaga kesehatan. Jakarta: EGC; 1997. p. 16-28.
18. Gartner LM. Management of jaundice in the well baby. Pediatrics 1992;89:826-7.
19. Boedjang RF. Penatalaksanaan ikterus neonatal. In: Naskah lengkap pendidikan tambahan berkala ilmu kesehatan anak ke-9 FKUI. Jakarta: Badan Penerbit Undip; 1984. p. 80-7.
20. Maisels MJ, Newman TB. Evaluation and treatment of jaundice in the term newborn: A kinders, gentler approach. Pediatrics 1992;89:831-3.
Published
2001-12-31
How to Cite
1.
P. T, S. A. Serum bilirubin concentration in breast-fed newborn babies at Larantuka General Hospital, East Flores. PI [Internet]. 31Dec.2001 [cited 19Apr.2024];41(11-12):284-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1043
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Received 2016-11-17
Accepted 2016-11-17
Published 2001-12-31
Accepted 2016-11-17
Published 2001-12-31
