Incidence of Neonatal Hyperbilirubinemia after Involved in Phukieo Breast Milk Protocol in PhuKieochalermprakiat Hospital, Chaiyaphum Province

Abstract

Neonatal jaundice is a most common problem in clinic and International health. This problem trend to increase risk of phototherapy. Parent was affected from long stay in hospital and waste money to take care their baby while in hospital.

Objective : The aim of this study was to evaluate incidence of neonatal hyperbilirubinemia after involved in Phukieo Breast Milk protocol in Phukieochalermprakiat hospital.

Material and methods : A retrospective chart review was performed on all patients, newborn diagnosed with neonatal hyperbilirubinemia in Phukieochalermprakiat hospital before involved in Phukieo Breast Milk protocol during March 2019 to May 2019. To compare newborn after involved in Phukieo Breast Milk protocol during June 2019 to August 2019. Demographic data, blood microbilirubin, cause of neonatal hyperbilirubinemia and re-admission for phototherapy were reviewed and recorded into a standard case record form.

Results : The relation of neonatal hyperbilirubinemia before involved in Phukieo Breast Milk protocol in PhuKieoChalermPraKiat Hospital has newborn birth 290. Ninety-eight (33.8%) were neonatal jaundice. Cause of neonatal hyperbilirubinemia is Breast feeding jaundice 61(62.2%), G6PD deficiency 14(14.3%), ABO incompatibility 11(11.2%). All neonatal jaundice get phototherapy and no one get blood exchange. Ten cases were re-admitted due to neonatal jaundice and needed phototherapy.

Two hundred and ninety cases were born after involved in Phukieo Breast Milk protocol. Eighty-four (29.3%) were neonatal jaundice. Cause of neonatal hyperbilirubinemia is Breast feeding jaundice 46(54.8%), G6PD deficiency 16(19%), ABO incompatibility 14(16.7%). All neonatal jaundice get phototherapy and no one get blood exchange. Four cases were re-admitted due to neonatal jaundice and needed phototherapy.

Conclusion : Phukieo Breast Milk protocol is the way to promote mother to see importance of breast feeding. Breast feeding every 2-3 hour can reduce Breast feeding jaundice problem. Promote breast feeding can help baby have a good healthy and family was not wasteful cost.