Introduction: Phototherapy is used to manage neonatal hyperbilirubinemia in early life. We aimed to compare between intermittent and continuous phototherapy in reducing TSB, rate of fall of bilirubin, duration of phototherapy and duration of hospitalisation in neonates with non-haemolytic hyperbilirubinemia. Methods: Total 190 neonates who were > 34 weeks and birth weight ≥ 2000 gm were included. They were randomised into group A (continuous phototherapy) and group B (intermittent phototherapy). Group A received phototherapy for three hours and 45 minutes off and group B received phototherapy for three hours and then three hours off. TSB levels estimation were done in both groups and compared after each 12 hours, 24 hours, and 48 hours of commencing phototherapy. Results: The mean TSB at presentation was 15.64 ± 2.19 mg/dl for continuous and 15.03 ± 1.07 mg/dl for intermittent group. Mean TSB at 12, 24, 48 hours were 13.26 ± 2.4 mg/dl, 10.8 ± 1.72 mg/dl, 10.16 ± 0.95 mg/dl respectively for continuous and 12.6 ± 1.65 mg/dl, 10.04 ±1.8 mg/dl, 9.1 ± 0.66 mg/dl respectively for intermittent group (p < 0.05). The mean rate of fall in serum bilirubin was 0.22 ± 0.12 mg/dl/hr for group A and 0.21 ± 0.08 mg/dl/hr for group B (p = 0.45). There was not much difference in mean duration of hospitalisation in both groups (p = 0.547). Conclusions: Intermittent phototherapy is a non-inferior option to continuous phototherapy, in the management of non-haemolytic hyperbilirubinemia with additional advantages of less interrupted mother infant bonding and decreased irradiance.
Background: Bottle feeding is one of the preventable causes of morbidity and mortality in infants and young children. Children admitted in our hospital analyzed at our center and appropriate advice and guidance for cessation of bottle feeding was given. The objective of this study was to analyses the feeding pattern and the reasons for bottle feeding in children and to help mothers to try and give up bottle feeding and initiate breast feeding.Methods: Retrospective analysis of 200 children less than 2 years admitted to Shri B M Patil hospital for various illnesses was done. Children were divided into 2 groups mainly breast-fed children and bottle-fed group. Both groups were analysed with respect incidence of infection, reason for bottle feeding, age of introduction of bottle feeding, time taken by mother to give up bottle feeing and type of compatible feeding at the time of discharge.Results: All the mothers could give up bottle feeding in less than 7 days during the hospital stay. 81 mothers were able to initiate breastfeeding of which 4 mothers were able to exclusively breastfeed at the time of discharge. 66 mothers were not able to initiate breastfeeding.71% of children received help with drip-drip method of feeding. Breast refusal was the cause of bottle feeding in 40.13% (59/147) of babies.Conclusions: Bottle fed children were more prone to infections. All the mothers gave up bottle feeding within 1 week. Drip drop method was the most effective strategy for initiation of breastfeeding.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.