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Jaundice in Newborns (Hyperbilirubinemia) -

Home Treatment
Orang tua sering diminta untuk mengamati tanda-tanda sakit kuning pada bayi mereka, yang mana
menghasilkan warna kuning pada kulit dan mata. Banyak ibu dan bayinya meninggalkan rumah sakit
setelah 48 jam kelahiran bayi, seringkali sebelum tanda-tanda sakit kuning muncul. Dianjurkan agar bayi
anda menjalani ujian lanjutan dengan ahli kesehatan dalam 5 hari pertama setelah lahir.

Jika bayi anda memiliki penyakit kuning tapi tidak perlu fototerapi, dokter bayi anda akan meminta anda
untuk mengawasi dan melaporkan setiap tanda-tanda peningkatan kuning atau perubahan perilaku.

Untuk memeriksa tanda-tanda peningkatan sakit kuning:

1. Buka pakaian bayi anda dan amati kulitnya dari dekat dua kali sehari. Untuk bayi berkulit gelap,
lihat pada bagian putih mata untuk memeriksa penyakit kuning. Ingat bahwa bayi anda akan
menjadi dingin dengan cepat ketika pakaiaannya dibuka. Pakaikan lagi kira-kira setelah satu
menit.
2. Periksa bayi anda dalam waktu yang sama setiap hari, di ruangan yang sama, di bawah kondisi
pencahayaan yang sama setiap kali anda periksa. Jika anda berpikir bahwa kulit bayi anda
semakin kuning, hubungi ahli kesehatan anda.

Perawatan terbaik yang dilakukan di rumah untuk sakit kuning adalah sesering mungkin diberi susu, baik
disusui ataupun lewat botol. Sering menyusui bayi anda (8 s.d 12 kali sehari) akan memberikan dia
cairan yang dibutuhkan untuk membuang penambahan bilirubin dalam darah.

Bayi dengan penyakit kuning yang normal dapat dirawat di rumah dengan sejenis fototerapi yang
menggunakan pembungkus serat optic, biasanya berbentuk selimut atau pita. Pembungkus ini biasanya
dapat mengurangi bilirubin darah lebih lambat daripada fototerapi standard, sehingga umumnya hanya
digunakan untuk penyakit kuning ringan. Kadang fototerapi standard dan pembungkus serat optic
digunakan bersamaan.

Jika bayi anda telah dirawat dengan fototerapi, warna kuning pada kulit dan mata tidak segera
menghilang. Tetapi jika warna kuning meningkat, laporkan pada ahli kesehatan anda. Kadang-kadang
orang tua mencoba untuk merawat sendiri bayi kuning mereka tanpa peralatan yang memadai.
Menempatkan bayi di bawah lampu di rumah, di dekat jendela di bawah sinar matahari, atau di luar di
bawah sinar matahari tidak akan mengurangi kadar bilirubin dalam darahnya. Kulit bayi anda mungkin
akan terbakar oleh lampu dan sinar matahari. Selain itu bayi anda mungkin akan terlalu dingin. Cahaya
khusus dan mengontrol suasana sekitar, selalu dibutuhkan untuk merawat bayi kuning dengan aman.
 Beberapa ibu yang menyusui bayi mereka khawatir bahwa mereka akan perlu berhenti menyusui jika
penyakit kuning bayi mereka berkembang. American Academy of Pediatrics mendorong perempuan
untuk terus menyusui bayi yang baru lahir dengan penyakit kuning yang sehat dan fokus pada
peningkatan frekuensi penyusuan (sekitar 8 sampai 12 kali setiap 24 jam) .1 Jika bayi Anda
membutuhkan bantuan mendapatkan cukup susu, Anda dapat menggunakan bantuan laktasi atau minta
dokter atau konsultan laktasi untuk membantu bayi Anda mengisap lebih baik. Jika bayi Anda dirawat di
rumah sakit, Anda mungkin perlu pompa payudara untuk menjaga produksi ASI Anda. Anda kemudian
dapat membawa susu ke rumah sakit untuk menyusui bayi Anda.

Jaundice in Newborns (Hyperbilirubinemia) -

Home Treatment

By Debby Golonka, MPH

MORE ON JAUNDICE IN NEWBORNS (HYPERBILIRUBINEMIA)

 Overview

o What is Jaundice in Newborns (Hyperbilirubinemia)

 Signs & Symptoms

o Symptoms
 Drugs, Treatments & Care

o Exams and Tests

o Treatment Overview
o Home Treatment

JAUNDICE IN NEWBORNS (HYPERBILIRUBINEMIA) HOME »

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 Jaundice in Newborns (Hyperbilirubinemia) - Topic Overview
 Jaundice in Newborns (Hyperbilirubinemia) - Symptoms
 Jaundice in Newborns (Hyperbilirubinemia) - Exams and Tests
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Home Treatment
Parents are often asked to watch their newborns for signs of jaundice, which produces a yellow tint to the
skin and eyes. Many mothers and their newborns leave the hospital within 48 hours of the baby's birth,
often before signs of jaundice develop. It is recommended that your infant have a follow-up exam with
your health professional within the first 5 days after birth.

If your baby has jaundice but does not need phototherapy, your baby's doctor will ask you to watch for
and report any signs of increasing jaundice or changes in behavior. To check for signs of increasing
jaundice:

 Undress your baby and look at his or her skin closely twice a day. For dark-skinned babies, look
at the white part of the eyes to check for jaundice. Remember that your baby will get cold quickly when
undressed. Cover your baby after about 1 minute.

 Check your baby at the same time of day, in the same room, under the same lighting conditions
each time. If you think that your baby's skin is getting more yellow, call your health professional.

The best home treatment for jaundice is frequent feedings, whether breast-feeding or bottle-feeding.
Feeding your baby frequently (about 8 to 12 times a day) will provide him or her with the fluids needed to
get rid of the extra bilirubin.

Babies with jaundice who are otherwise healthy may be treated at home with a type of phototherapy that
uses a fiber-optic wrap, usually a blanket or a band. These wraps usually reduce blood bilirubin levels
more slowly than standard phototherapy, so generally they are used only for mild jaundice. Sometimes
standard therapy and fiber-optic wrap therapy are used together. 2

If your baby is being treated at home for jaundice, it is important that you understand how to use all of the
equipment. Ask your baby's doctor for help if you have questions or concerns. You may need to take your
baby to a lab each day to get his or her bilirubin checked. A home health nurse may visit to make sure all
is going well.

If your baby has been treated with phototherapy, the yellow tint to the baby's skin and eyes may not
disappear immediately. But if the yellow tint intensifies, report it to your health professional.
Sometimes parents try to treat their jaundiced babies on their own without the proper equipment. Placing
a baby under lights at home, near a windowsill in the sunlight, or outside in the sun will not lower the
amount of bilirubin in his or her blood. Your baby's skin may get burned by the lights or the sun. In
addition, your baby may get too cold. Special lights and controlled surroundings are always needed to
treat jaundice safely.

Some mothers who breast-feed their babies are concerned that they will need to stop breast-feeding if
their babies develop jaundice. The American Academy of Pediatrics encourages women to continue
breast-feeding newborns with jaundice who are otherwise healthy and to focus on increasing the
frequency of feedings (about 8 to 12 times every 24 hours). 1 If your baby needs help getting enough milk,
you can use a lactation aid or ask your doctor or a lactation consultant to help your baby latch on better.

If your baby is hospitalized, you may need to pump your breasts to maintain your milk production. You
can then take the milk to the hospital for your baby's feedings.