Page 295 - Abstract Book KONIKA 18

Neonatology

P-NEO-017
Profiles of Hyperbilirubinemia in Neonatal Intensive Care Unit Department
of Prof. R. D. Kandou Hospital Manado

Irene Mutiara Tandra, Rocky Wilar, Johnny Rompis, Shekina Rondonuwu
Department of Child Health, Faculty Medicine, Universitas Sam Ratulangi/Prof Dr. R. D. Kandou Hospital,
Manado, North Sumatera, Indonesia

Abstract
Background Hyperbilirubinemia is one of the most common clinical sign found in neonates. More than
85% of term infants who return to care in the first week of life are due to this condition. Neonates with
hyperbilirubinemia appear yellow due to the accumulation of the yellow pigment bilirubin in the sclera
and skin. Objective To assess clinical profile and treatment of neonatal hyperbilirubinemia in NICU
Prof. Dr. R. D. Kandou Hospital. Methods A Retrospective cross-sectional study on 103 patients who admitted
to NICU Prof. Dr. R. D. Kandou Hospital from January to June 2021. Results A total of 81 (78%) neonates
were male and 32 (22%) were female with an average birth weight of 2200 grams and the APGAR score of
neonates in this study was 4.5. Neonates in this study were dominated by low birth weight with a total of 78
(75%) and preterm with a total of 60 (58%) neonates. A total of 90 (87%) neonates had hyperbilirubinemia,
with the mean serum bilirubin level of preterm neonates was 12.4 mg/dL, and term neonates was 14.5 mg/
dL, whereas hyperbilirubinemia in neonates generally occurred in preterm neonates, low birth weight, and
lower APGAR scores. Neonates in this study were dominated by neonates with general unhealthy condition
(77.8%) and undergoing phototherapy (82%). Conclusion This study shows that hyperbiluribinemia in
neonates generally occurs in those who are preterm, low birth weight and have lower APGAR scores.
Keywords: APGAR; hyperbilirubinemia; low birth weight; preterm

P-NEO-018
Neonatal Outcomes of Preeclamptic Mother: A Retrospective Study
at Tertiary Hospital in Banjarmasin, Ulin General Hospital
2
1
Julia Kasab , Pudji Andayani , Pricilia Gunawan H. , Ari Yunanto 2
2
Faculty of Medicine and Child Health Department, Faculty of Medicine , Universitas Lambung Mangkurat,
1
2
Banjarmasin, South Borneo, Indonesia
Abstract
Background Preeclampsia is a serious pregnancy condition associated with neonatal mortality and morbidity.
Indonesia currently has limited data of neonatal outcomes from preeclamptic mothers, especially in
Banjarmasin city. Objective To describe the characteristics and neonatal outcomes of preeclamptic mothers
at a tertiary hospital in Banjarmasin, Ulin General Hospital. Methods This is a descriptive retrospective
study using secondary data from the registry of neonates born at Ulin General Hospital Banjarmasin in
2020 and has been approved by the hospital ethics committee. Incomplete and unclear data were excluded
from the study. Results The number of babies born from preeclamptic mothers at Ulin General Hospital
Banjarmasin in 2020 was 228/1056 (21.5%). We include 210 babies in this study. Maternal characteristics
were age (median 33 years old (18-48)), educational level (primary-junior high school (50.4%)), first or
second pregnancy (57.6%), severe preeclampsia (92.9%), eclampsia (4.8%), mode of delivery (caesarian
sections (72.9%); vacuum extractions (23.8%)), has chronic hypertension (18.6%), obesity (9.5%),
oligohydramnios (10%). Neonatal outcomes from this study include prematurity (preterm (16.7%); very
preterm (7.6%)), small for gestational age (29.5%), intrauterine growth restriction (8.1%), asphyxia (34.8%),
respiratory distress (20.3%), sepsis (22.4%); anemia (11.0%), disseminated intravascular coagulation (11.0%),
days of hospitalization (6.07±6.62) day, death before 7 days of hospitalization (4.8%) and after (0.4%).
Conclusion The most leading neonatal outcomes from preeclamptic mothers in Ulin General Hospital were
prematurity, small for gestational age, and intrauterine growth restriction, followed by asphyxia, respiratory
distress, sepsis, anemia, and disseminated intravascular coagulation.
Keywords: preeclampsia; neonatal outcomes

KONIKA XVIII Abstract Book 247