Table of Contents

HK J Paediatr (New Series)
Vol 2. No. 2, 1997

HK J Paediatr (New Series) 1997;2:179-180

Proceedings of Scientific Meeting

Comparison of Conventional Overhead and New Underneath Phototherapy in the Treatment of Neonatal Jaundice

MS Choi, DKK Ng, JCS Ho, RKN Yuen

HK J Paediatr (new series) 1997;2:175-186

Hong Kong Paediatric Society 35th Anniversary Scientific Meeting September 6,1997

Aim: To compare Bilibed phototherapy (Bilibed, Medelda AS, Switzerland) with conventional phototherapy using 8 overhead daylight fluorescence lamps (Philips TLD 18W, Philips Lighting Co.) with respect to the rate of fall in bilirubin, change in body weight and temperature, the time for nursing preparation and the preference of parents

Design: Prospective randomized controlled study

Method: 20 Term baby with neonatal jaundice who fulfilled the inclusion criteria were randomized to receive either bilibed or conventional phototherapy. The effects of both forms of phototherapy was assessed by regular monitoring of serum bilirubin level, body weight, body temperature and nursing preparation time for setting up both therapies at 0 hour. Parent's preference was assessed by questionnaire addressing convenience and personal choice.

Results: 20 neonates with age ranges from 37 to 42 gestational weeks were randomized and treated with 9 in bilibed and 11 in conventional therapy. The initial bilirubin level at 0 hour is similar between the bilibed (265.44±18.16μmol/l) and conventional phototherapy (253.64±14.42μmol/l). The mean rate of fall of bilirubin in the bilibed arm is 1.71±0.98 μmol/l/hr and that of the conventional arm is 2.30±0.79μmol/l/hr. There is no statistical difference on the rate of fall of bilirubin between two groups (p=0.074). The mean total therapy time of bilibed arm is 40.20±14.78 hours while that of conventional arm is 35.52±16.42 hours. There is no difference statistically (p=0.21). The nursing time for setting up bilibed at the beginning of phototherapy 6.67±3.54 minutes is significantly shorter than that of conventional phototherapy 20.45±8.13 minutes (p=0.0004). At the end, there is no difference in the drop of body weight between both therapy (p=0.909). 75 % of the parents appreciated the convenience of bilibed

Discussion: In our study, underneath phototherapy is as effective as conventional phototherapy in reducing the serum bilirubin level and required less nursing time in the initial setup and less disruption of parental bonding. It is also the preference of the parents The main drawback is its capital and maintenance cost.


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