Midwifery care for a neonate with icterus
Keywords:
breastfeeding, midwifery care, neonates, physiological icterusAbstract
Physiological icterus is a condition that commonly occurs in newborns due to increased levels of unconjugated bilirubin in the blood. This condition generally appears on the 2nd–3rd day of life (within <2 weeks) and is characterized by a yellowish discoloration of the skin and sclera. Physiological icterus is usually temporary but still requires monitoring to prevent excessive increases in bilirubin levels. The purpose of this study is to describe midwifery care for a neonate, By. K, aged 3 days with physiological icterus, and to evaluate the outcomes of the care provided. This study used a descriptive case study method on By. K, a 3-day-old neonate with physiological icterus. Data were collected through maternal anamnesis, observation of the infant’s condition, physical examination, and medical record documentation. The care provided included monitoring the infant’s general condition, assessing the degree of icterus, and providing education to the mother regarding newborn care. The assessment results showed that the infant was in good general condition, had normal reflexes, and showed yellow discoloration on the face indicating signs of physiological icterus. The infant received adequate breast milk with a good feeding frequency. The interventions included educating the mother to provide optimal breastfeeding, monitoring changes in the infant’s skin color, and recommending safe morning sun exposure for the infant. Adequate breastfeeding can help increase the excretion of bilirubin through feces, thereby assisting in reducing bilirubin levels in infants with physiological icterus. Midwifery care for newborns with physiological icterus through monitoring the infant’s condition, providing adequate breastfeeding, and educating the mother can help improve the infant’s condition and prevent complications. Health workers are expected to enhance education for mothers regarding the danger signs of icterus, the importance of optimal breastfeeding, and regular monitoring of the infant’s condition.
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