Phototherapy In Management Of Hyperbilirubinemia Research Articles

Effectiveness of position change among infants during phototherapy in management of hyperbilirubinemia in late preterm and term neonate

Neonatal jaundice is the yellowish staining of the white part of the eyes and skin in an infant because of high bilirubin levels. Untimely children have a lot higher occurrence of neonatal jaundice requiring remedial mediation than term infant. The present study aims to assess the effectiveness of position change among infants during phototherapy in the management of hyperbilirubinemia in late preterm and term neonate. A quantitative approach with a quasi-experimental design with non-randomized control research design was used to conduct the study in Thiruvallur District Head Quarter Government Hospital. Thirty samples were selected by using a convenience sampling technique and were grouped into an experimental and control group; each consist of 15 samples. A semi-structured questionnaire was used to collect information regarding demographic variables and variables related to clinical proforma. Bilirubin level was monitored and recorded in the hyperbilirubinemia chart for both the groups. The neonates in the experimental group were subjected to a position change for every 2 hrs and the neonates in the control group were given regular care. The study results show that position change among infants during phototherapy was found to be effective in the reduction of serum bilirubin level considerably among infants in the experimental group than the infants in the control group. At the level of p<0.001. This indicates that position change is effective in reducing the bilirubin level and have an impact on the early recovery of the neonates.

Effect of position of infant during phototherapy in management of hyperbilirubinemia in late preterm and term neonates: a randomized controlled trial

To evaluate the effect of supine position when compared with periodic change of position during phototherapy in late preterm and term neonates (35 to 42 weeks) with hyperbilirubinemia on the duration of phototherapy. We randomly allocated enrolled neonates with hyperbilirubinemia to either no change in position (supine group (SG); n=54) or two-hourly change of position from supine to prone and vice versa (turning group (TG); n=46). All the infants received single surface phototherapy by two dedicated compact fluorescent light units. Total serum bilirubin (TSB) was measured at the start of phototherapy and then every 12 ± 2 h until the end of phototherapy. Phototherapy was stopped when two values were below the cut-off for age and gestational age as per the American Academy of Pediatrics Subcommittee on Hyperbilirubinemia guidelines nomogram for the management of hyperbilirubinemia in infants >35 weeks of gestation. The primary outcome was duration of phototherapy and secondary outcome was rate of fall of bilirubin within the first 24 ± 2 h after the initiation of phototherapy. Baseline characteristics including birth weight (g, 2752 ± 478 vs 2748 ± 416 P=0.96), gestation (week, 37.1 ± 1.2 vs 37.4 ± 1.3, P=0.26) were similar in the two groups. There was no difference in the duration of phototherapy between the SG (mean ± s.d., hour, 25.5 ± 8) and TG (mean ± s.d., hour, 24.8 ± 5), mean difference (95% confidence interval), hour, 0.7 (-2.03, 3.44, P=0.6). Rate of fall of bilirubin was also similar in both supine and turning groups with mean difference of -0.020 (95% confidence interval: -0.061, 0.021, P=0.34). Nursing babies in supine position when compared with periodic position change during phototherapy does not decrease the duration of phototherapy.

47. Phototherapy in Management of Hyperbilirubinemia of the High Risk Infant

47. Phototherapy in Management of Hyperbilirubinemia of the High Risk Infant