Page 82 - Abstract Book KONIKA 18

Neonatology

O-NEO-003
Effects of Bathing Immediately after Birth in Newborns with Mothers Suspected
or Confirmed COVID-19 on Temperature and Random Blood Glucose

Rezky Adhyaksa, Indrayady, Afifa Ramadanti
Department of Child Health, Faculty of Medicine Universitas Sriwijaya/Mohammad Hoesin General Hospital,
Palembang, South Sumatera, Indonesia

Abstract
Background WHO recommends bathing newborns six hours after birth to prevent hypothermia and
hypoglycemia. However, AAP recommends bathing immediately after birth on a stable neonate of mothers
suspected or confirmed COVID-19. Objective To determine the effects of bathing immediately after birth
on temperature and random blood glucose (RBG). Methods A quasi-experimental study was conducted
at Mohammad Hoesin Hospital between May 2020 and July 2021. One hundred subjects were selected
consecutively. Fifty subjects in intervention groups born to mothers with suspected or confirmed COVID-19
were bathed immediately in warm water (temperature 37-40 C) and soaped for 1-2 minutes. Fifty subjects
o
were born to mothers not suspected with COVID-19 bathed six hours after birth. Newborn with birth
weight <2500g, asphyxia, respiratory distress, maternal diabetes, and congenital anomaly were excluded.
Axillary temperature and RBG were measured immediately and 1 hour after birth in both groups. Results
No difference between intervention and control groups regarding gestational age, birth weight, temperature,
and RBG with median were 38 (range 35-42) vs. 38 (range 35-41) weeks, 3000 (range 2500-4200) vs. 2940
(range 2500-4290) grams, 36.6 (range 36.5-36.9) C vs. 36.6 (range 36.5-36.9) C, 98 (range 78-148) vs. 97.5
o
o
(range 78-142) mg/dL, respectively. Between intervention and control groups did not differ significantly in
axillary temperature and RBG at 1 hour after birth with median were 36.7 (range 36.3-36.9) vs. 36.7 (ragne
36.4-36.9) C, P=0.12, 93.5 (range 36-138) vs. 102 (range 78-135) mg/dL, P=0.35, respectively. Hypothermia
o
and hypoglycemia were reported in the intervention and control groups, 9 (18%) vs. 4 (8%) subjects, P=0.137,
1 (2%) vs. 0 (0%), P=1.00, respectively. Conclusion The occurrence of hypothermia and hypoglycemia is
more often in early bathing but it is no statistically significant difference in both groups.
Keywords: newborn; bathing; immediately; hypoglycemia; hypothermia

O-NEO-004
Prophylaxis Effectiveness of Calcium Gluconate 400 mg/kgbw/day Compared to
Calcium Gluconate 200 mg/kgbw/day in Preventing Neonates Hypocalcemia
on the Third Day at H. Adam Malik Hospital

Liza Apsera, Pertin Sianturi, Selvi Nafianti
Department of Child Health, Faculty 0f Medicine Universitas Sumatera Utara, Medan, North Sumatera, Indonesia
Abstract
Background Calcium is the most important mineral that found in the body. Calcium level in healthy infants
normaly will have the lowest values at the age of 24-48 hours after birth, causing hypocalcemia.Incidence
of hypocalcemi in Adam Malik Hospital was 45,3%. Calcium gluconate is a prophylactic prevention of
hypocalcemia in neonates. Objective To analyze the effectiveness of calcium gluconate 400mg/kgbw/day
compared to calcium gluconate 200mg/kgbw/day to the incidence of neonatal hypocalcemia on the third
day of treatment. Methods Randomized clinical trial study with experimental pre and post-test with control
design to compared ionized calcium levels of neonates who received calcium gluconate 400mg/kgbw/day
with calcium gluconate 200mg/kgbw/day. Results The proportion of hypocalcemia was 38,5%. The mean
calcium of the intervention group before intervention was 1.28 mmol/L, and after the intervention was 1.18
mmol/L, while the control group was 1.58 mmol/L and 1.35 mmol/L. There was no difference in mean serum
calcium between the two groups after intervention (P=0.828), but there was a significant difference in mean
serum calcium from the intervention group before and after intervention (P=0.032). Conclusion Calcium
gluconate 400 mg/kgBW/day was not more effective in preventing neonatal hypocalcemia on the third day
of treatment compared to calcium gluconate 200mg/kg/day.
Keywords: calcium gluconate; hypocalcemia; neonates

36 KONIKA XVIII Abstract Book