APAKAH BAYI PERLU DIJEMUR PADA PAGI HARI?

  • Ida Nursanti Stikes Jenderal Achmad Yani Yogyakarta

Abstract

Background: The neonatal jaundice (icterus neonatorum) is a frequent problem encountered ininfants during the first week after birth. Sixty percents of healthy infants born full term are at riskof neonatal jaundice and 5-12% of infants are at risk of developing severe jaundice. Bilirubinen cephalopathy causes severe jaundice/kernicterus and the baby suffering fromcernicterus willexperience impaired growth and development. Severe neonatal jaundice can be prevented byutilization of sunlight. Sunlight helps the process of bilirubin degradation as to preventaccumulation of excessive bilirubin in the blood in the newborn.

Objective: To determine the effect of utilization of sunlight on the risk of severe icterusneonatorum. To determine the reasons mothers do the utilization of sunlight and the reason themothers have not done proper utilization of sunlight.

Methods:This study was an observational study with a prospective cohort design. The study was conducted with quantitative and qualitative approaches. Sampling used purposive sampling. The sample size was 86 pairs of mother-infant who met the inclusion and exclusion criteria. The data was collected using monitoring sheets, check lists, and questionnaires. The qualitative data were obtained from interviews to 6 respondents. Hypothesis test used chi-square with p<0.05 and 95% Confidence Interval. Analysis of data used univariable, bivariable, and qualitative analyses.

Results: There were differences in the proportion of the incidence risk of neonatal jaundice among infants who received the good utilization of sunlight with infants who had less utilization of sunlight. Babies who lacked the benefits of sunlight had a 2.5 times greater chance to experienceneonatal jaundice compared with infant with good benefits of sunlight. The reason why mother stook advantage of sunlight was because they felt confident that the sun could cope with jaundice in infants. They received knowledge about the benefits of sunlight from the information providedby health workers and family. The mothers had enough knowledge about the techniques of appropriate utilization of sunlight but with less knowledge about the risks of ultraviolet on skin.

Conclusion: Infants who benefited less sunlight had higher risk for having neonatal jaundicecomparedwith infants who benefited adequate sunlight.

Keywords: Baby born healthy, sunlight, neonatal jaundice

Author Biography

Ida Nursanti, Stikes Jenderal Achmad Yani Yogyakarta

Jl. Ringroad Barat Ambarketawang Gamping Sleman Yogyakarta 0274 434 2000

References

Depkes RI. Manajemen Terpadu Balita Sakit: Manajemen Terpadu Bayi Muda Umur Kurang Dari 2 Bulan. Jakarta: Depkes RI; 2008.

Maisels M. Neonatal hyper bilirubinemia and kernicterus-not gone but some times forgotten. Early Hum Dev. 2009; 85 (11):727-32.

Cohen SM. Jaundice in the full-term new born. Pediatr Nurs. 2006 May-Jun;32 (3): 202-8

American Academic of Pediatrics. Management of Hyperbilirubinemia in the New born Infant 35 or More Weeks of Gestation Pediatrics.2004;114(1):297-316.

Smitherman H, Stark AR, Bhutani VK. Early recognition of neonatal hyper bilirubinemia and its emergent management. Semin Fetal Neonatal Med. 2006 Jun;11(3):214-24.

Sarici SU, Serdar MA, Korkmaz A,Erdem G, Oran O, Tekinalp G, et al.Incidence, course, and prediction of hyperbilirubinemia in near-term and term new borns. Pediatrics. 2004 Apr;113 (4):775-80.

Stevenson D, Sunshine P, Benitz W. Fetal and Neonatal Brain Injury: Mechanisms, Management, and The Risks of Practice. Cambridge, United Kingdom: Cambridge University Press; 2003.

Johnston R, Anderson J, Prentice C.Is sunlight an effective treatment forinfants with jaundice? Med J Aust.2003;178 (8):403.

Cremer RJ, Perryman PW, Richards DH. Influence of light on the hyper- bilirubinaemia of infants. Lancet.1958 May 24;1(7030):1094-7.

Harrison S, Petra Büttner, Nowak M.Maternal beliefs about the reputedtherapeutic uses of sun exposure ininfancy and the postpartum period.Women and Birth. 2005; Volume 18,Issue 2, Pages 22-28.

Aladag N, Filiz TM, Topsever P,Gorpelioglu S. Parents' knowledge and behaviour concerning sunning their babies; a cross-sectional,descriptive study. BMC Pediatr. 2006; 6 (27).

Harrison S, Hutton, L. and Nowak, M.An investigation of professionaladvice advocating therapeutic sunexposure. Aust N Z J Public Health.2002;26(2):108-15.

Sciuto M, Bertino G, Zocco M,Vecchio I, Raffaele R, Trifiletti RR, etal. Incidence and causes of neonatal hyperbilirubinemia in a center of Catania. Ther Clin Risk Manag. 2009 Feb;5 (1):247-50

Depkes RI. Buku Bagan Manajemen Terpadu Balita Sakit (MTBS). Jakarta: Depkes RI; 2008.

Keren R, Tremont, K., & Luan, X.Visual assessment of jaundice interm and late preterm infants. ArchDis Child Fetal Neonatal Ed. 2009;94 (5): F317-F22

Polit D, Hungler B. Essentials of Nursing Research: Methods, Apprai-sal, and Utilization. 4 th ed. Philadel-phia, Pennsylvania, USA: JB. Lippin-cott Company; 1997.

Schwoebel A, Bhutani VK, JohnstonL. Kernicterus: A “never-event” inhealthy term and near-term new-borns. New born & Infant Nursing Reviews. 2004;4(4):201-10.

Salih FM. Can sunlight replace phototherapy units in the treatment of neonatal jaundice? An in vitro study. Article first published online: 7 Juli.2008

Cinar ND, Filiz TM, Topsever P, UcarF, Akgul S, Gorpelioglu S. Intentionalsun exposure in infancy in Sakarya,Turkey. Saudi Med J. 2006;27(8):1222-5

American Academy of Pediatrics.Technical Report-Ultraviolet Radia-tion: A Hazard to Children and Adolecents Pediatrics. 2011;127:e791

Dadlani C, Orlow SJ. Planning for abrighter future: A review of sunprotection and barriers to behavioral change in children and adolescents. Dermatology Online Journal. 2008;14(9):1

Published
2019-10-22
How to Cite
1.
Nursanti I. APAKAH BAYI PERLU DIJEMUR PADA PAGI HARI?. Media ilmu kesehatan [Internet]. 2019Oct.22 [cited 2024Mar.29];1(1):25-2. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/6