Pre-phototherapy total serum bilirubin levels in extremely preterm infants

Jegathesan, Thivia; Ray, Joel G.; Keown‐Stoneman, Charles; Campbell, Douglas M.; Shah, Vibhuti; Berger, Howard; Hayeems, Robin Z.; Sgro, Michael; Antwi, Jeffrey; Baker, Jillian G.; Baleswaran, Shangari; Barozzino, Tony; Casalino, Maria; Cheema, Sohail; Debono, Mary; Dobberstein, Danielle; Ghobrial, Maria; Gnanalingam, Aasha; Elias, Ilham; Jhaveri, Aaditeya; Librach, Melissa; Prajapati, Dishaben; Rasiah, Saisujani; Selvakumaran, S.; Sheth, Heet; Sritharan, Ashvinie; Travis, Geoffrey; Twiss, Jennifer; Visvanathaiyer, Gayathri; Zheng, Helen

doi:10.1038/s41390-022-02065-0

Pediatr Res

2022

DOI: 10.1038/s41390-022-02065-0

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Pre-phototherapy total serum bilirubin levels in extremely preterm infants

Thivia Jegathesan

Joel G. Ray

Charles Keown‐Stoneman

et al.

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Cited by 2 publications

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“…1,4 Phototherapy is frequently used to decrease bilirubin levels in infants. 5 Bilirubin levels in the body are usually determined using total serum bilirubin (TSB) or transcutaneous bilirubin (TCB) measurement. Recent studies have reported close agreement between these 2 methods.…”

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confidence: 99%

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The Effect of Abdominal Massage on Bilirubin Levels in Term Infants Receiving Phototherapy

Köse,

Gözen,

Karadağ Aytemiz

et al. 2024

Advances in Neonatal Care

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Background: The incidence of neonatal hyperbilirubinemia in Europe and the United States is estimated to be 3.2 and 4.4 per 10,000 live births, respectively. Abdominal massage for hyperbilirubinemia is considered a safe complementary treatment for infants that may increase number of defecations and decrease bilirubin levels. Purpose: This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels in term infants receiving phototherapy. Methods: The sample consisted of 43 term newborns (intervention group: 23; control group: 20) who received phototherapy in a university hospital between June 2019 and February 2021. Information and observation forms were used for data collection. The intervention group received 6 abdominal massages over 2 days, performed 3 times a day, 6 hours apart, and lasting 5 minutes each. Results: Transcutaneous bilirubin levels and heart rate were significantly lower in the intervention group than in the control group at 48 hours (P = .015 and P = .033, respectively). Number of defecations was higher in the intervention group at 24 hours (P = .007) but there was no significant difference at 48 hours. The decrease in serum bilirubin between 24 and 48 hours was significantly greater in the intervention group (P = .005). Implication for Practice and Research: Abdominal massage was effective in reducing bilirubin levels and may increase the number of defecations. Providing massage training to the parents of infants who are discharged early could be a protective approach to prevent the rise in bilirubin levels.

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confidence: 99%

“…However, early discharge may prevent timely diagnosis and treatment, and hyperbilirubinemia remains an important cause of neonatal readmission 1,4. Phototherapy is frequently used to decrease bilirubin levels in infants 5. Bilirubin levels in the body are usually determined using total serum bilirubin (TSB) or transcutaneous bilirubin (TCB) measurement.…”

mentioning

confidence: 99%

The Effect of Abdominal Massage on Bilirubin Levels in Term Infants Receiving Phototherapy

Köse,

Gözen,

Karadağ Aytemiz

et al. 2024

Advances in Neonatal Care

View full text Add to dashboard Cite

show abstract

Hyperbilirubinemia Among Infants Born Preterm: Peak Levels and Association with Neurodevelopmental Outcomes

Solís-García

Raghuram

Augustine

et al. 2023

The Journal of Pediatrics

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Pre-phototherapy total serum bilirubin levels in extremely preterm infants

Cited by 2 publications

References 16 publications

The Effect of Abdominal Massage on Bilirubin Levels in Term Infants Receiving Phototherapy

The Effect of Abdominal Massage on Bilirubin Levels in Term Infants Receiving Phototherapy

Hyperbilirubinemia Among Infants Born Preterm: Peak Levels and Association with Neurodevelopmental Outcomes

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