Effect of Phototherapy on Behaviour of Jaundiced Neonates

被引：5

作者：

Abrol P. ^{[1
,2
]}

Sankarasubramanian R. ^{[1
]}

机构：

[1] Department of Pediatrics, Pt. B.D. Sharma Post Grad. Inst. M., Rohtak, Haryana

[2] Rohtak - 124 001, 25/9J, Medical Enclave

来源：

The Indian Journal of Pediatrics | 1998年 / 65卷 / 4期

关键词：

Brazelton's neonatal behaviour assessment scale; Neonatal behaviour; Neonatal jaundice;

D O I：

10.1007/BF02730904

中图分类号：

学科分类号：

摘要：

Thirty full term newborns appropriate for gestational age with icterus neonatorum were divided into two groups of 15 each. Group I (study group) newborns had serum bilirubin in the range of 12.1 to 15.0 mg/dl. Group II (control group) included neonates with serum bilirubin in the range of 8 to 12.0 mg/dl. Only the study group was given phototherapy. The comparative study of neonatal behaviour in both these groups was done using BNBAS (Brazelton's neonatal behaviour assessment scale), 24 to 48 hrs, both after initiation and cessation of phototherapy in the study group and at corresponding postnatal ages in control group. Many newborns in the study group were on top feeds and had more crying episodes. The study group scores were significantly poorer in orientation response to visual inanimate, visual animate and visual and auditory animates in the cluster interactive processes. Followup assessment showed similar results in the same items. Other items in the same cluster and all items in the other clusters showed no significant difference in the two groups in the initial as well as followup assessments. As maternal separation during phototherapy also possibly affects neonatal behaviour, the effect of this factor can be minimized by keeping the phototherapy unit with the mother of the jaundiced baby. The mother should be encouraged to breast feed her baby regularly and have more mother-baby interaction.

引用

页码：603 / 607

页数：4

共 10 条

[1]

Brazelton T.B., Neonatal behaviour assessment scale. SIMP Monographs, Clin Dev Med, 50, (1973)

[2]

Collingwood J., Alberman E., Separation at birth and mother-child relationship, Dev Med Child Neurol, 21, pp. 608-618, (1979)

[3]

Cohen S.E., Beckwish I., Parmelee A.H., Receptive language development in preterm children as related to caregiver child interaction, Pediatr, pp. 61-20, (1978)

[4]

Prasad B.G., Changes proposed in the social classification of Indian families, J Indian Med Assoc, 55, pp. 198-199, (1970)

[5]

Telzrow R.W., Synder D.M., Tronick E., Als H., Brazelton T.B., The behaviour of jaundiced infants undergoing phototherapy, Dev Med Child Neurol, 22, pp. 317-326, (1980)

[6]

Paludetto R., Mansi G., Rinaldi P., Decurtis M., Cirrimara F., The behaviour of jaundiced infants treated with phototherapy, Early Hum Dev, 8, pp. 259-267, (1983)

[7]

Nelson C.A., Horowotz F.D., Short term behavioural sequelae of neonatal jaundice treated with phototherapy, Int Behav Dev, 5, pp. 289-299, (1982)

[8]

Prechtl H.R.F., Theorell K., Blair A.W., Behavioural states cycles in abnormal infants, Dev Med Child Neurol, 15, pp. 606-615, (1973)

[9]

Preis D., Rodolph N., Abdominal distension is newborn infants on phototherapy. The role of eye occlusion, J Pediatr, 94, pp. 816-819, (1979)

[10]

Gathwala G., Narayanan I., Effects of caesarian section on mother baby interaction, Indian Pediatr, 2, pp. 45-50, (1991)

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