Bodyweight Loss at 24, 48 Hours Postpartum for Predicting Breast Feeding Jaundice in Term Newborn Infants
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Abstract
Background: Breast feeding jaundice is a common condition in newborns. The dehydration or weight loss of the infants was used to predict breast feeding jaundice. In Prakhonchai Hospital the incidence of breast feeding jaundice increased every year. The objectives of this study were to evaluate the accuracy and optimal cutoff percentage bodyweight loss at 24 and 48 hours postpartum for predicting breast feeding jaundice.
Subjective: Participant was 39 cases of breast feeding jaundice and 408 cases of control. Duration of study: 1st January 2015 to 31st December 2016.
Methods: Retrospective study using data from 447 newborn infants.The definition of breast feeding jaundice is infant serum microbilirubin (MB) more than ≥15 mg / dl at 48-72 hours postpartum. Data are analyzed by receiver operator characteristic curve (ROC curve). The accuracy was area under graph (AUC) x 100%. Sensitivity and specificity report on optimal cutoff percentage bodyweight loss by significance level p-value < 0.05.
Results: A total of 39 (8.7%) with breast feeding jaundice. The accuracy of percentage bodyweight loss at 24 and 48 hours postpartum for predicting breast feeding jaundice were 70.9% (AUC=0.7095, 95%CI= 0.625, 0.793) and 74.9% (AUC = 0.7499, 95% CI = 0.671, 0.828) respectively. The optimal cutoff percentage bodyweight loss at 24 and 48 hours postpartum for predicting breast feeding jaundice were ≥5.1% (sensitivity=58.9%, specificity=70.3%) and ≥7.7% (sensitivity=58.9%, specificity=70.1%).
Conclusion: The percentage bodyweight loss was used to predict breast feeding jaundice. The optimal cutoff at 24 and 48 hours postpartum used as the early warning sign to stimulation breast feeding.
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References
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