Department of Nursing, Faculty of Health Sciences, Sakarya University, 5418 Sakarya, Turkey.
Department of Nursing, Institute of Health Sciences, Sakarya University, 54187 Sakarya, Turkey.
J Trop Pediatr. 2022 Feb 3;68(2). doi: 10.1093/tropej/fmac023.
The aim of this study was to determine the effect of breastfeeding and intensive breast milk nutritional support program (IBNSP) on hospitalization rates for hyperbilirubinemia in normal term newborns.
This study's sample consisted of 68 newborn infants (experimental group: 34; control group: 34) born at a university hospital from October 2020 to April 2021. Five steps of breastfeeding and IBNSP were administered to the experimental group for the first 48 h after birth. This program starts at the postpartum first hour and continues until the 48th hour. It includes face-to-face training, practical support on breastfeeding, and one-to-one demonstration and practice methods. The control group received the standard care recommended by the World Health Organization. Both groups' bilirubin levels were measured 24 and 72 h after birth. Participants in both groups were hospitalized for risky (according to bilirubin values) situations. The groups' bilirubin levels and hospitalization rates for hyperbilirubinemia were compared.
There was no statistically significant difference between the experimental (5.19 ± 1.27) and the control (5.83 ± 1.52) groups' bilirubin levels at 24 h after birth, (t = -1.881, p = 0.064); however, the control group infants (12.03 ± 3.67 mg/dl) had higher bilirubin levels than the infants in the experimental group 72 h after birth (9.55 ± 2.82 mg/dl) (t = -3.122, p = 0.003). The experimental group's hospitalization rate for hyperbilirubinemia (n: 1, 2.9%) was lower than the control group's rate (n: 8, 23.5%), and this difference was statistically significant (X2 = 6.275, p = 0.014).
Breastfeeding and IBNSP effectively prevent hospitalization for hyperbilirubinemia and reduce newborns' bilirubin levels.
本研究旨在确定母乳喂养和强化母乳喂养营养支持计划（IBNSP）对正常足月新生儿高胆红素血症住院率的影响。
本研究的样本包括 2020 年 10 月至 2021 年 4 月在一所大学医院出生的 68 名新生儿（实验组：34 名；对照组：34 名）。在出生后的前 48 小时内，对实验组实施了母乳喂养和 IBNSP 的五个步骤。该计划从产后第一小时开始，持续到第 48 小时。它包括面对面培训、母乳喂养的实际支持以及一对一的示范和实践方法。对照组接受了世界卫生组织推荐的标准护理。两组均在出生后 24 小时和 72 小时测量胆红素水平。两组均因胆红素值高（根据胆红素值）住院。比较两组的胆红素水平和高胆红素血症的住院率。
出生后 24 小时，实验组（5.19 ± 1.27）和对照组（5.83 ± 1.52）的胆红素水平无统计学差异（t = -1.881，p = 0.064）；然而，出生后 72 小时，对照组婴儿（12.03 ± 3.67 mg/dl）的胆红素水平高于实验组婴儿（9.55 ± 2.82 mg/dl）（t = -3.122，p = 0.003）。实验组高胆红素血症（n：1，2.9%）的住院率低于对照组（n：8，23.5%），差异有统计学意义（X2 = 6.275，p = 0.014）。
母乳喂养和 IBNSP 可有效预防高胆红素血症住院，降低新生儿胆红素水平。
