Effect of maternal education for neonatal jaundice and breastfeeding with early follow-up visits of newborn on rehospitalization due to hyperbilirubinemia Annelere verilen yenidoǧan sariliǧi ve emzirme eǧitimi ile erken yenidoǧan poliklinik takibinin sarilik nedeniyle hastaneye yatiş üzerine etkisi
Nobel Medicus, cilt.8, sa.2, ss.16-21, 2012 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 8 Sayı: 2
- Basım Tarihi: 2012
- Dergi Adı: Nobel Medicus
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.16-21
- Anahtar Kelimeler: Follow-up, Hospitalization, Hyperbilirubinemia, Newborn, Training program
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study was performed to determine the effect of standardized maternal education for neonatal jaundice and breastfeeding, and close neonatal follow-up on rehospitalization due to hyperbilirubinemia. Material and Method: Otherwise healthy term newborns who had been admitted to the neonatology unit with the diagnosis of hyperbilirubinemia between September 2008 and September 2009 were included in the study. During the study period, all the mothers who delivered in our hospital were informed about hyperbilirubinemia and breastfeeding, according to an education programme standardized by American Academy of Pediatrics. The families were strictly told to come to the early follow-up visits. The demographic features and laboratory results of inborn (Group I) and outborn babies (Group II) were prospectively recorded and compared. Results: Of 197 infants included in the study, 89 (45.2%) were inborn and 108 (54.8%) were born in a different medical centers. The 2.9% (89/3036) of full term infants born at our hospital and early discharged were rehospitalized due to hyperbilirubinemia. Compared with the babies delivered in another hospitals, mean total bilirubin value at the admission was lower (Group I: 18.4±4.3 versus 20.9±3.9 mg/dL), admission date was earlier (Group I: 3.7±1.6 versus Group II: 5.1±1.9 days), and duration of phototheraphy (Group I: 41.8±20.3 versus Group II: 51.6±25.1 hours) was shorter, and hospitalization costs were lower (Group I: 330.9±168.2 TL versus Group II: 449.7±238.2 TL) for babies born at our hospital. Conclusion: The strategies which include standard maternal education, breastfeeding support and close clinical follow-up, are effective measures for reducing the duration of phototherapy, length of stay and rehospitalization costs associated with hyperbilirubinemia through the hospitals that apply early postnatal discharge.