Characteristics of Neonates with Hyperbilirubinemia in Cileunyi, West Java
Abstract
Background: Neonates are prone to hyperbilirubinemia or jaundice due to the immaturity of various organ systems and complications at birth. Immature organ systems occur primarily in preterm babies and babies with low birth weight (LBW). The incidence of hyperbilirubinemia is about 60% among term neonates and is higher in preterm neonates. This study aimed to determine the characteristics of neonates with hyperbilirubinemia.
Methods: This study used a cross sectional research design. Samples were obtained from medical records of neonates with hyperbilirubinemia throughout 2019 at Annisa Medical Center Hospital, Bandung Regency. Data on neonates that met the inclusion criteria were selected, including gender, gestational age, birth weight, mode of delivery, bilirubin levels (before and after phototherapy), and duration of treatment. Data analysis was performed using univariate statistical calculations.
Results: From 786 data obtained, the prevalence rate of hyperbilirubinemia was 21.2%. Male neonates with hyperbilirubinemia were predominantly prevalent (n=103; 61.7%); whereas preterm neonates accounted for 51.5% (n=86), normal weight (85.6%), and born through vaginal delivery (n=116; 69.5%). After treatment, total bilirubin levels decreased, with the percentage of the >10 mg/dL group decreasing from 97.0% to 10.2%. The average duration of treatment for neonates with hyperbilirubinemia was 4.4 days, however, the neonates who were treated less than the average were 71.3%.
Conclusion: Preterm male is predominantly prevalent among neonates with hyperbilirubinemia, although they have conformed birth weight and vaginal delivery mode. The duration of treatment for neonates with hyperbilirubinemia mostly does not exceed 4 days, as long as the treatment reduces the total bilirubin level. Good therapeutic management in the first week of hyperbilirubinemia neonates is required.
Keywords
Full Text:
PDFReferences
Mitra S, Rennie J. Neonatal jaundice: aetiology, diagnosis, and treatment. Br J Hosp Med (London). 2017;78(12):699-704
Martin CR, Cloherty JP. Neonatal hyperbilirubinemia. In Cloherty JP, Eichenwald EC, Stark AR. Manual of neonatal care. 5th Ed. Philadelphia: Lippincolt Williams & Wilkins; 2008. p. 185–221.
Dewi AKS, Kardana IM, Suarta K. Efektivitas fototerapi terhadap penurunan kadar bilirubin total pada hiperbilirubinemia neonatal di RSUP Sanglah. Sari Pediatri. 2016;18(2):81–6.
Chime G, Egenede J, Arute J. Prevalence of neonatal jaundice on Central Hospital, Warri, Delta State, Nigeria. Int J Health Res. 2011;4(3):123–6.
Parwata WSS, Putra PJ, Kardana M, Artana WD, Sukmawati M. The characteristic of neonatal hyperbilirubinemia before and after phototherapy at Sanglah Hospital, Denpasar, Bali in 2017. Intisari Sains Medis. 2019;10(2):309–12.
Rafie R, Nopiyanti A. Pengaruh berat badan lahir rendah terhadap ikterus neonatorum pada neonatus di Ruang Perinatologi RSUD Karawang Provinsi Jawa Barat tahun 2016. Jurnal Ilmu Kedokteran dan Kesehatan. 2017;4(1):12-17.
Faiqah S. Hubungan usia gestasi dan jenis persalinan dengan kadar bilirubinemia pada bayi ikterus Di RSUP NTB. Jurnal Kesehatan Prima. 2014;8(2):1355–62.
Fatmawati L, Sumiati S. Analisis faktor-faktor yang berhubungan dengan kejadian hiperbilirubin. Journals of Ners Community. 2017;8(1):11–9.
Windiarto T, Yusuf AH, Santoso AD, Nugroho S, Latifah S, Solih R, et al. Profil anak Indonesia 2018. Jakarta: Kementerian Pemberdayaan Perempuan dan Perlindungan Anak (KPPPA); 2018
World Health Organization. Health in the Sustainable Development Goals. India: World Health Organization; 2016
Nurani NB, Kadi FA, Rostini T. Incidence of neonatal hyperbilirubinemia based on their characteristics at Dr. Hasan Sadikin General Hospital Bandung Indonesia. Althea Medical Journal. 2017;4(3):431–4.
Auliasari NA, Etika R, Krisnana I, Lestari P. Faktor risiko kejadian ikterus neonatorum. Pediomaternal Nursing Journal. 2019;5(2): 183–8.
Wijaya FA, Suryawan IWB. Faktor risiko kejadian hiperbilirubinemia pada neonatus di Ruang Perinatologi RSUD Wangaya Kota Denpasar. Medicina. 2019;50(2):357–64.
Cholifah, Djauharoh, Machfudloh H. Faktor-faktor yang berpengaruh terhadap hiperbilirubinemia di RS Muhammadiyah Gersik. Midwiferia. 2017;3(1):14–25.
Hosea MK, Etika R, Lestari P. Hyperbilirubinemia treatment of neonatus in Dr. Soetomo Hospital Surabaya. Folia Medica Indonesiana. 2015;51(3):183–6.
Puteri IRP. Hubungan antara berat bayi lahir (BBL) dengan kejadian ikterik pada neonatus di Ruang Perinatologi RSUD Wonosari. Jurnal Kesehatan Ibu dan Anak Akademi Kebidanan An-Nur. 2017;2(2):9–18.
Madiastuti M, Chalada S. Faktor-faktor yang berhubungan dengan kejadian neonatus hiperbilirubin di RSB Pasutri Bogor Provinsi Jawa Barat tahun 2016. Jurnal Ilmu dan Budaya. 2017;40(55):6385–403.
Novianti N, Mediani HS, Nurhidayah I. Pengaruh field massage sebagai terapi adjuvan terhadap kadar bilirubin serum bayi hiperbilirubinemia. Jurnal Keperawatan Padjadjaran. 2017;5(3):315–27.
Buthani VK, Committee on Fetus and Newborn. Phototherapy to prevent severe neonatal hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2011;128(4):e1046–52.
Bhethanabhotla S, Thukral A, Sankar MJ, Paul VK, Deorari AK. Effect of position of infant during phototherapy in management of hyperbilirubinemia in late preterm and term neonates: a randomized controlled trial. J Perinatol. 2013;33(10):795–9.
DOI: https://doi.org/10.15850/amj.v8n3.2328
Article Metrics
Abstract view : 1313 timesPDF - 697 times
This Journal indexed by
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats