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All Journal Jurnal Health Sains
Jeanette I. Ch. Manoppo
Department of Child Health RSUP Kandou
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Relationship Of 25(Oh)D Umbilical Levels With Neonatal Hyperbilirubinemia Jeanette I. Ch. Manoppo; Rocky Wilar; Felicia Halim; Ernestine Vivi Sadeli
Jurnal Health Sains Vol. 4 No. 8 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i8.1056

Abstract

The purpose of this study was to determine the relationship between vitamin D levels in the umbilical cord with the occurrence of hyperbilirubinemia in neonates. This study used an analytical observational design in a cohort prospective. This study compared two groups based on the results of vitamin D measurements. Each group, then followed up to examine the occurrence of hyperbilirubinemia. This research will be conducted from October 2022 to January 2023. Sample selection is done by consecutive sampling technique. RESULTS: Of the 19 or 79.2% of infants with 25-hydroxy-vitamin D deficiency, they had hyperbilirubinemia. While in the group that did not experience deficiency, only 3 or 10.7% experienced hyperbilirubinemia. There was a difference in the incidence of hyperbilirubinemia between infants who had 25-hydroxy-vitamin D deficiency compared to those without 25-hydroxy-vitamin D deficiency, with an RR of 6.71, which was statistically significant (p<0.001). 25-hydroxy- vitamin D deficiency was shown to be a factor associated with hyperbilirubinemia with an adjusted RR of 6.63. In conclusion, there is a strong relationship between 25(OH)D levels in the umbilical cord and neonatal hyperbilirubinemia, where 25(OH)D deficiency is a risk factor for hyperbilirubinemia. Neonates with 25(OH)D deficiency are 6.63 times more likely to develop hyperbilirubinemia than those without 25(OH)D deficiency
RELATIONSHIP BETWEEN DELIVERY METHOD WITH NEONATAL HYPERBILIRUBINEMIA Jeanette I. Ch. Manoppo; Audrey M.I. Wahani; Ernestine Vivi Sadeli
Jurnal Health Sains Vol. 4 No. 8 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Jaundice in newborn was the most leading cause for hospitalization in newborns. It was manifest as yellowish discoloration of mucosa membrane caused by increase in serum or plasma bilirubin. This condition can be cause either by increased production breakdown of red blood cells, disorder in conjugation or impaired excretion. Meanwhile, some research also stated that delivery method can influence bilirubin concentration in newborn. This study was conducted to determine relationship between delivery method with neonatal hyperbilirubinemia that already receive phototherapy.  As much as 104 babies with hyperbilirubinemia were included into this observational research. Around 55% of them, neonates were delivered by caesarean section. In conclusion, caesarean section method of delivery is associated with neonatal hyperbilirubinemia (p value 0.001).
Co-Authors Audrey M.I. Wahani Ernestine Vivi Sadeli Ernestine Vivi Sadeli Felicia Halim Rocky Wilar