Application value of multiple colostrum feedings in reducing the incidence of neonatal jaundice / 中国基层医药

ABSTRACT

Objective:To investigate the clinical efficacy of multiple colostrum feedings in reducing the incidence of neonatal jaundice.Methods:We randomly selected 100 full-term neonates delivered in Xiaoshan Hospital from January 2018 to January 2019 and randomly allocated them into control and observation groups ( n = 50/group). The control group was administered colostrum < 4 times/day, and the observation group was administered colostrum > 12 times/day. The incidence of neonatal jaundice, the severity of jaundice, the duration of jaundice, serum bilirubin level 7 days after birth, and the satisfaction of neonatal close relatives were compared between the two groups. Results:Neonatal jaundice was significantly milder in the observation group than in the control group ( P < 0.05). The proportion of healthy neonates was significantly higher in the observation group than in the control group ( P < 0.05). The duration of jaundice was shorter in the observation group than in the control group [(2.10 ± 0.35) days vs. (4.25 ± 1.53) days, t = 8.66, P < 0.001]. There was a significant difference in serum bilirubin level 1-5 days after birth between the two groups (all P < 0.05). The satisfaction of the close relatives of neonates was significantly higher in the observation group than in the control group (96.00% vs. 84.00%, χ2 = 4.00, P = 0.045). All neonates with jaundice healed after multiple short-term blue light phototherapies and had no obvious adverse reactions. Conclusion:Multiple colostrum feedings can greatly reduce the incidence of neonatal jaundice, improve the satisfaction of the close relatives of neonates, play a positive role in promoting maternal and infant health, and thereby are worthy of popularization.