Assessment of the Nutritional Status of Babies with Neonatal Jaundice in Ghana
Abstract:
Neonatal jaundice is a public health concern responsible
for a relatively high rate of infant morbidity and mortality. Therefore, it is
prudent to put in place effective risk-reduction strategies and detect and treat
new born jaundice effectively. Optimum nutrition has been shown to be crucial
to health and well-being. This study,
therefore, sought to investigate the nutritional status of babies that
report to three referral hospitals in Ghana (Korle-bu Teaching Hospital, Greater
Accra Regional Hospital and the Tamale Teaching hospital). It was a multi-center nested, case-control study involving 120 cases
and 120 controls of neonates in the three
referral hospitals in Ghana. The study revealed that babies with neonatal jaundice
in Ghana mostly have a normal nutritional status, even though they lose about 5%
of their birth weight. More mothers of healthy babies
(88.3%) did exclusive breastfeeding, compared with mothers of babies
with neonatal jaundice (76.7%). It was also revealed that the three referral hospitals implemented the Baby Friendly Hospital Initiative’s ten steps
to successful breastfeeding as a measure to prevent suboptimal feeding, which could
lead to an increase in bilirubin levels. Assessment and interventions to
prevent weight loss should therefore be paramount for babies with neonatal jaundice.
References:
[1] Wickström,
R., Skiöld, B., Petersson, G., Stephansson, O., Altman, M. (2018). Moderate neonatal
hypoglycemia and adverse neurological development at 2-6 years of age. European Journal of Epidemiology, 33,
1011–1020.
[2] American
Academy of Pediatrics (2004). Management of hyperbilirubinemia in the new-born infant
35 or more weeks of gestation. Subcommittee on Hyperbilirubinemia. Pediatrics,
114(1), 297-316.
[3] Hoynes,
H., Schanzenback, D.W. & Almond, D. (2016). Long-run impacts of childhood access
to the safety net. American Economic Review, 106(4), 903-934.
[4] Radhakrishnan,
K. (2015). Vitamin D deficiency in children: Is your child getting
enough? U.S. News & World Report. Retrieved from: http://health.usnews.com/health-news/patient-advice/articles/2015/11/06/vitamin-d-deficiency-in-children.
[5] Benson,
S.L.J., Thompson, M. (2016). Nutrition assessment. Academy of Nutrition and Dietetics
Pocket Guide to Neonatal Nutrition, 2nd Edn. Chicago. Pp. 1-31.
[6] Leppanen,
M., Lapinleimu, H., Lind, A., et al. (2014). Antenatal and postnatal growth and
5-year cognitive outcome in very preterm infants. Pediatrics, 133(1), 63-70.
doi: 10.1542/peds.2013-1187.
[7] Corkins,
M.R. (2017). Why is diagnosing pediatric malnutrition important? Nutrition Clinical
Practice, 32(1), 15-18. doi: 10.1177/0884533616678767.
[8] Mehta S,
Kumar P, Narang A. (2005). A randomized controlled trial of fluid supplementation
in term neonates with severe hyperbilirubinemia. Journal of Pediatrics, 147(6),
781-785.
[9] Weng, Y.,
Chiu, Y., Cheng, S. (2012). Breast Milk Jaundice and Maternal Diet with Chinese
Herbal Medicines. Evidence-Based Complementary and Alternative Medicine. Retrieved
from https://www.hindawi.com/journals/ecam/2012/150120/ on 18th April 2017.
[10] Wilde, V.K. (2021). Breastfeeding
Insufficiencies: Common and Preventable Harm to Neonates. Cureus, 13(10),
e18478. doi:10.7759/cureus.18478.
[11] Metcoff,
J. (1994). Clinical assessment of nutritional status at birth. fetal malnutrition
and SGA are not synonymous. Pediatric Clinical North America, 41(5), 875-91.
[12] Althomali,
R., Aloqayli, R., Alyafi, B., Nono, A., Alkhalaf, S., Aljomailan, A., et al. (2018).
Neonatal jaundice causes and management. International Journal of Community Medicine
and Public Health, 5, 4992-6.
[13] Academy
of Breastfeeding Medicine (ABM) (2017). ABM Clinical Protocol #22: Guidelines for
Management of Jaundice in the Breastfeeding Infant 35 Weeks or More of Gestation.
Vol., 12, No. 5. DOI: 10.1089/bfm.2017.29042.vjf.
[14] Koletzko, B. (2015). Pediatric Nutrition in Practice; World Review Nutrition Dietetics: Basel, Karger. Volume 113, pp. 139–146.
[15] Hunt, L., Ramos, M., Helland, Y., Lamkin, K. (2020). Decreasing
neonatal jaundice readmission rates through implementation of a jaundice management
guide. BMJ Open Qual,
9, 1.
[16] Bolajoko,
O. Olusanya, M., Kaplan, T., Hansen W. R, (2018). Neonatal hyperbilirubinaemia:
a global perspective. Lancet Child Adolescent Health 4642(18), 30139-1 Retrieved
on 4th June 2021 from http://www.thelancet.com/child-adolescent.
[17] Pagana, K.D., Pagana, T.J.,
Pagana, T.N. (2019). Mosby’s Diagnostic and Laboratory Test Reference. 14th
ed. Mo: Elsevier, St. Loius.
[18] Escobar,
G., Gonzales, M., Armstrong, M.A., Folck, B.F., Xiong, B., Newman, T.B. (2002).
Rehospitalisation for neonatal dehydration: A nested case-control study. Arch
Pediatric Adolescent Medicine, 156, 155-161.
[19] Boo N.Y.
and Lee, H.T. (2002). Randomized controlled trial of oral versus intravenous fluid
supplementation on serum bilirubin level during phototherapy of term infants with
severe hyperbilirubinaemia. Journal of Paediatric Child Health, 38(2), 151-155.
[20] Thornton, P.S., Stanley, C.A., De Leon, D.D, et al. Recommendations from the pediatric endocrine society for evaluation and management of persistent hypoglycemia in neonates, infants, and children. Journal of Pediatrics, 2015;167:238–245.