International Conference of Health Polytechnic Surabaya, Seminar Nasional Kesehatan 2015

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PEMBERIAN ASI DENGAN KEJADIAN IKTERUS NEONATORUM DI UPT RUMAH SAKIT SUMBERGLAGAH MOJOKERTO
Zulfa Rufaida

Last modified: 2017-07-31

Abstract


Jaundice in newborns during the first week occurred in 60% of term infants and
80% of preterm infants. In Indonesia, the incidence of neonatal jaundice in term infants in
some education hospitals, among others RSCM Hospital, Dr. Sardjito Hospital, Dr.
Soetomo Hospital, Dr. Kariadi Hospital, varied from 13.7% to 85%
7
. The most feared
complication is the happening of bilirubin encephalopathy / kernicterus. This situation can
be prevented, one of them is with the promotion and support of breastfeeding with adequate
intake. However, there are still a lot of controversy between the incidence of breastfeeding
with neonatal jaundice, which explained that once there is an increase in the promotion of
breastfeeding, an increase in the incidence of neonatal jaundice in the first week of birth
The aim to identify the incidence of neonatal jaundice risk in infants fed breast milk with
formula milk.
The study was observational prospective cohort design. Subjects were pairs of
mothers - infants who met the inclusion and exclusion criteria specified. Sampling techique
used purposive sampling. Number of sample was 35 pairs of infant mothers - each group.
Jaundice assessment was done visually and severity of jaundice was measured according to
the degree of Kramer. Analysis bivariable with independent sample t test statistical test at
the significance level P <0.05 and Mann Whitney, to see the magnitude of the risk of the
effects (outcome) was seen in ΔMean with 95% CI. Multivariable analysis used linear
regression statistical tests to see the regression coefficient, and a significance level of p
<0.05 with 95% CI. Result based on test bivariable with independent sample t - test between
breastfeeding by the incidence of neonatal jaundice. Obtained the value of Δmean group
was -0.46 p values > 0.05 (p = 0.084) with 95% CI -0.997; 0.63, and the value of Mann
Whitney test p = 0.111. Based on test results, we can conclude that significantly
insignificant, the research hypothesis is proven, there is no difference in the incidence of
jaundice in the group of breast-fed and formula-fed. Multivariable analysis of the
relationship between breastfeeding by the incidence of neonatal jaundice is controlled by
external variables have an adjusted R
2
of 0.752.
Based on the results statistically there is no difference between breast-fed infants
with milk formula with neonatal jaundice at the Sumberglagah hospital, Mojokerto in 2015.
External variables that significantly affect the incidence of jaundice are IMD, the duration
of breastfeeding, and birth weight loss on the first 3 days of birth.

Keywords: neonatal jaundice, breastfeeding


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