Hiperbilirubinemia Pada Neonatus

Mathindas, Stevry; Wilar, Rocky; Wahani, Audrey

doi:10.35790/jbm.5.1.2013.2599

Cited by 9 publications

(13 citation statements)

References 3 publications

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“…Some risk factors for neonatal jaundice are 35 to 37 weeks gestation, polycythemia such us mother's Hemoglobin (Hb), platelet count (PLT), White Blood Cell (WBC), different degrees of bilirubin with T4 levels, Thyroid Stimulating Hormone (TSH), septicemia, infants of diabetic mother, labor assisted by vacuum or forceps, labor trauma, Asian races, a history of jaundice in previous children, hemolytic causing like rhesus, ABO incompatibility and glucose-6-phosphate dehydrogenase (G6PD) deficiency, pyruvate kinase deficiency, spherocytosis congenital, Lucey-Driscoll syndrome, Crigler-Najjar disease, hypothyroid, and hemoglobinopathy and wrong breastfeeding track [11], [20], [21].…”

Section: Literature Reviewmentioning

confidence: 99%

“…The increasing number of red blood cells with any cause is also at risk for hyperbilirubinemia. Various types of infections in infants can also increase the risk of neonatal jaundice track [21]. The event of the baby jaundice can be experienced in baby in the first 24 hours of birth.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The clinical appearance of infants with pathological jaundice includes an increase in bilirubin serum exceeding 5 mg/dl/day within 24 hours, total bilirubin serum >0.5 mg/dL/hour, the presence of basic disease signs in each baby such as vomiting, lethargic, lazy sucking, rapid weight loss, apnea, tachypnea, unstable temperature, jaundice that survives after eight days in term infants or after 14 days in less-term infants, clinical jaundice of more than 2 weeks and conjugated bilirubin (characterized by dark urine color and tarnishing clothing). Babies who experience hyperbilirubinemia on average take medical treatment in the form of phototherapy for 1.6 -6.7 hours, the duration of stay and hospitalization for 17.8 to 41.8 hours [11], [21], [23], [29], [37].…”

Section: Pathological Neonatal Jaundicementioning

confidence: 99%

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Correlation between Gestational and Maternal Age with Pathological Neonatal Jaundice

Fetriyah¹,

Sari²,

Rahmayani³

et al. 2019

Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019)

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Pathologic jaundice is one of the causes of neonatal death, among the risk factor is pre-term pregnancy that causes prematurity. It affects the growth of the fetus due to the immaturity of the reproductive organs. The main objective of this study is to analyze the correlation between gestational and maternal age with pathologic neonatal jaundice. The research used quantitative analytical method with cross sectional approach. The sample consisted of 297 babies chosen using systematic random sampling technique. The analysis used Kolmogorov-Smirnov test, Fisher Exact Test. The result of study found that 5.1% of neonatal had post-term gestation, 21.55% of mothers delivered at risk of ages, 6.06% suffered pathologic neonatal jaundice. Some of neonatal (24.44%) born during preterm gestation suffered pathologic jaundice. The correlation between gestational age and pathological jaundice got p value = 0.035, the correlation between maternal age with pathological jaundice got p value = 1.000. Gestational age associated with pathological jaundice and maternal age is not associated with pathological jaundice. It is important for health workers to assess gestational age on antenatal and intranatal care to anticipate pathological jaundice and mothers need to always take their baby to health services if the baby appears to have yellow skin.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Pathological Neonatal Jaundicementioning

confidence: 99%

See 1 more Smart Citation

Correlation between Gestational and Maternal Age with Pathological Neonatal Jaundice

Fetriyah¹,

Sari²,

Rahmayani³

et al. 2019

Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019)

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“…Phototherapy is recommended if the total serum bilirubin level is > 12 mg/dL in neonates aged 25-48 hours after birth, and is mandatory if the total serum bilirubin level is 15 mg/dL. 1,14 Thus, in this article, there are several aspects that are reviewed as effective parameters:…”

Section: Discussionmentioning

confidence: 99%

Cylindrical intensive vs. double surface LED phototherapy for neonatal hyperbilirubinemia

Sulviatni¹,

Syuhada²,

Krissanti³

et al. 2021

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Background High bilirubin levels may lead to complications such as bilirubin encephalopathy or even death. Therefore, neonatal hyperbilirubinemia patients require appropriate treatment in the form of phototherapy or exchange transfusion. With the advancement of technology, various types of phototherapy, such as the cylindrical intensive phototherapy (bilisphere) and double LED, are now available. Objective To compare cylindrical intensive phototherapy to double surface LED phototherapy in neonatal hyperbilirubinemia. Methods This cohort study was conducted in neonates with hyperbilirubinemia at at Syamsudin SH Hospital, Sukabumi, West Java, who were treated with either cylindrical intensive phototherapy or double surface LED phototherapy. The variables observed were subjects’ characteristics, bilirubin levels pre- and post-therapy, duration of phototherapy, length of stay, and total treatment cost. The data were analyzed using univariate and bivariate analyses. Results Of 47 neonates, the mean bilirubin levels were 19.36 mg/dL pre-therapy and 12.26 mg/dL post-therapy. Subjects’ overall mean duration of phototherapy was 24 hours, mean length of stay was 1 day, and mean cost of treatment was IDR 813,175. There was no significant difference in the bilirubin decrease between the cylindrical intensive phototherapy and double LED groups. However, there were significant differences between the cylindrical intensive phototherapy and double LED groups in duration of phototherapy (10.75 vs. 75.17 hours, respectively (P<0.000), mean length of stay (1 vs. 3.13 days, respectively (P<0.000), and total cost of treatment (IDR 598,918 vs. IDR 1,036,747, respectively P<0.000). Conclusion While the decrease in bilirubin was not significantly different in neonatal hyperbilirubinemia patients who underwent cylindrical intensive phototherapy compared to double LED therapy, cylindrical intensive phototherapy relates to significant shorter phototherapy duration, length of stay, and total treatment cost. Hence, cylindrical intensive phototherapy phototherapy is considered to be more time-efficient and cost-efficient than double LED phototherapy.

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“…Hiperbilirubinemia adalah terjadinya peningkatan kadar bilirubin dalam darah, baik oleh faktor fisiologis maupun non fisiologis yang secara klinis menimbulkan gejala yang disebut ikterus (kuning). 1 Ikterus merupakan salah satu gejala yang umum dijumpai pada bayi baru lahir (neonatus). Kejadian ikterus sebanyak 50-52% pada bayi cukup bulan dan 80% terjadi pada bayi berat lahir rendah.…”

Section: Pendahuluanunclassified

Efektifitas Fototerapi Pada Bayi Baru Lahir dengan Hiperbilirubinemia Berdasarkan Jenis Lampu dan Panjang Gelombang Fototerapi

Augurius¹,

Susanto

Septiana

2021

J. Kdokt Meditek

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Hiperbilirubinemia adalah terjadinya peningkatan kadar bilirubin dalam darah, baik oleh faktor fisiologis maupun non fisiologis yang secara klinis menimbulkan gejala yang disebut ikterus (kuning). Pada neonatus, kadar serum bilirubin indirek yang tinggi dapat menyebabkan kerusakan otak yang parah dan tidak dapat disembuhkan. Fototerapi dan transfusi tukar adalah dua strategi terapeutik utama untuk mencegah kerusakan otak akibat bilirubin pada neonatus. Bilirubin, yang merupakan target fototerapi ini menyerap sinar secara maksimal pada rentang spektrum biru (460-490 nm). Namun, literatur lain mengatakan spektrum panjang gelombang yang berbeda, yaitu pirus (497 nm) juga sama efektifnya dalam menurunkan kadar bilirubin. Eligibilitas dari metode penelitian ini berdasarkan Participant, Intervention, Comparison, and Outcomes (PICO) dan penggunaan Boolean Operator. Berdasarkan seleksi studi dan penilaian kualitas, didapatkan 9 artikel yang dapat dianalisa. Pada bagian pembahasan didapatkan fototerapi lampu hijau dengan panjang gelombang (500nm) memiliki efektifitas yang sama dengan fototerapi gelombang biru dalam penurunan total serum bilirubin, sehingga dapat digunakan sebagai fototerapi alternatif. Fototerapi LED tidak lebih unggul dalam efektifitas penurunan total serum bilirubin jika dibandingkan dengan fototerapi konvensional. Hal ini dikarenakan iradiasi dalam keadaan normal fototerapi LED lebih tinggi dibandingkan dengan fototerapi konvensional sehinnga meningkatkan efektifitas dari fototerapi LED.

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Hiperbilirubinemia Pada Neonatus

Cited by 9 publications

References 3 publications

Correlation between Gestational and Maternal Age with Pathological Neonatal Jaundice

Correlation between Gestational and Maternal Age with Pathological Neonatal Jaundice

Cylindrical intensive vs. double surface LED phototherapy for neonatal hyperbilirubinemia

Efektifitas Fototerapi Pada Bayi Baru Lahir dengan Hiperbilirubinemia Berdasarkan Jenis Lampu dan Panjang Gelombang Fototerapi

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