Effect of infants' position on serum bilirubin level during conventional phototherapy.

作者: ML Donneborg , KB Knudsen , F Ebbesen

DOI: 10.1111/J.1651-2227.2010.01885.X

关键词: Supine positionCurrent practicePediatricsSerum bilirubin levelGestational ageTotal serum bilirubinRecien nacidoBilirubinProne positionMedicine

摘要: Aim:  To compare the decrease in total serum bilirubin (TSB) concentration during conventional phototherapy infants treated supine position exclusively versus alternated between exposure and prone every third hour. Moreover, to survey current practice patterns two Scandinavian countries as far alternating exposure. Methods:  A of 112 with non-haemolytic hyperbilirubinaemia, but otherwise healthy, a gestational age ≥33 weeks were randomized one treatment groups. All received for 24 h. TSB was measured at start after 12 24 h treatment. Questionnaires about routines changes sent all 41 neonatal departments Denmark Norway. Results:  No statistically significant differences observed groups: 12 h therapy, decreased 32% both groups 49% 50%, respectively. In two-thirds Danish Norwegian departments, routinely turned phototherapy, most often hours. Conclusion:  The not significantly associated positioning infant phototherapy. Alternating is widely practiced Scandinavia unnecessary.

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