THE EFFECTIVENESS OF PHOTOTERAPHY AGAINST TOTAL BILIRUBIN REDUCTION IN NEONATAL HYPERBILIRUBINEMIA AT RSUD MATRAMAN JAKARTA
Gendis Ayu Ardias
RSUD Matraman Jakarta
Background : Hyperbilirubinemia is one of the most common clinical phenomena in newborns. Hyperbilirubinemia is an increase of bilirubin in plasma levels > 2 standard deviation based on infant age or >90th percentile. The use of phototherapy as one of hyperbilirubinemia therapy has been started since 1950 and is effective in reducing the incidence of brain damage (kern Jaundice) due to hyperbilirubinemia. The benefits of phototherapy are: not invasive, effective, inexpensive, and easy to use.
Material : The cohort study was conducted in the perinatology room of RSUD Matraman, Jakarta. Samples were taken by consecutive sampling for one year (May 2017 - May 2018). The SPSS 22 program was used for data analysis. Paired t-test and p-values of < 0.05 and 95% of IC were considered statistically significant.
Results : There was a significant difference between the initial total bilirubin compared with post-phototherapy bilirubin (p <0.05) with confidence interval 6.60-8.53. Decreased bilirubin with 2x24 hours of phototherapy was as much as 7.56 ± 3.42 mg / dL.
Conclusions : Phototherapy is an effective management of reducing bilirubin levels in neonatal hyperbilirubinemia at RSUD Matraman Jakarta. Further research on the quantity and intensity of breastfeeding, as well as the role of breast milk in reducing bilirubin levels in neonatal hyperbilirubinemia are still needed to be done.