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Effectiveness of Transcutaneous Bilirubin Measurement in Managing Neonatal Jaundice
( Enkhjin Ganbayar ),( Undraa Ishgeedei ),( Dojkhand Tuvden ),( Purev Ganbaatar ),( Dulguun Batsaikhan ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: Neonatal jaundice is a common cause of concern in immediate newborn period for parents. Obtaining blood bilirubin samples is a painful procedure; it predisposes the baby to infections and requires skilled health personnel. Moreover, laboratory tests are costly and time consuming, leading to unnecessary delays in commencing phototherapy and discharge from hospital. Transcutaneous bilirubinometer has been in use since 2017 as screening tool in postnatal wards. Methods: Ninety newborns with jaundice were referred to the postnatal ward of Dornod Medical center from 2017 august to 2019 December. For patients, we used breastfeeding, intravenous fluid and phototherapy. Before and after the treatment, transcutaneous bilirubinometer were cheked. Results: From the 210 participants of the age (day) 1-35 (mean 17), male were 123 (58.9%), female were 87 (41.1%), body mass were 1.1-4.9 kg (mean 3.7). Phototheraphy and nursing care had significantly decreased bilirubin level from 129.0- 469.0 (mean 295.1) mmol/l to 97-298 (mean 173.4) mmol/l (T test, P≤0.05). Conclusions: In conclusion, specially of transcutaneous bilirubin measurement is safe and effective in neonatal jaundice.