Page 83 - Abstract Book KONIKA 18

Neonatology

O-NEO-005
Relationship between Umbilical Cord Blood Albumin Levels
and the Occurrence of Neonatal Jaundice in Term Newborns

Miky Akbar, Guslihan Dasa Tjipta, Supriatmo
Department of Child Health, Faculty of Medicine Universitas Sumatera Utara/H.Adam Malik General Hospital,
Medan, North Sumatera, Indonesia

Abstract
Background Neonatal jaundice is a common clinical problem during the first week of life. Albumin binds
and transport unconjugated bilirubin (UB) to the liver. Low albumin level will reduce its transport and
binding capacity. Therefore, the need for early detection of hyperbilirubinemia in newborns is important.
Objective To assess relationship between umbilical cord blood albumin levels and the occurrence of neonatal
jaundice in term newborns. Methods Prospective cohort of term healthy neonates at perinatology RSUP. H.
Adam Malik Medan from February 2020-December 2020. Umbilical cord blood was sent for albumin level.
Infants were followed up every day using Krammer criteria and confirmed by estimation of serum bilirubin
levels on the third day of life. Pearson-Spearman correlation with simple linear regression were obtained.
Results A total of 20 newborns were analyzed. Correlation of umbilical cord blood albumin levels with
total serum bilirubin (TSB) and UB levels had a significant correlation (p<0.001) with negative correlation
(r=-0.759 for TSB, r=-0.851 for UB). There was no significant correlation between umbilical cord blood
albumin and direct bilirubin (P=0.051) with negative correlation (r=-0,442). The regression equation obtained
indirect bilirubin = 23,007 – 4,108 umbilical cord albumin levels. Conclusion Cord blood albumin levels
can predict the occurrence of neonatal jaundice in term newborns.
Keywords: cord blood albumin; neonatal jaundice.

O-NEO-009
Preparedness of Neonatal Resuscitation Team in the Management of Respiratory
Emergency at Primary Healthcare Service in Jakarta, Indonesia

2
Yenny Purnama , Rina Rohsiswatmo , Retno Asti Werdhani
3
1
Gatot Soebroto National Army Hospital , Department of Child Health and Department of Community Medicine ,
1
3
2
Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta,
Indonesia
Abstract
Background Neonatal mortality rate (NMR) in Indonesia was 19/1000 live birth in 2012, while Jakarta (Capital
Region) was 2/1000. The low number NMR should be in line with good quality of health care service. In
contrast, the sample registration system in 2014 reported 70% of maternal death was occurred in hospital.
In Gatot Soebroto Hospital, 62% neonatal mortality was referral case. We investigate the preparedness
of neonatal resuscitation at primary health care service (PHS) in Jakarta to evaluate the consistency with
low NMR. Methods A qualitative and quantitative study was performed at 12 PHS. Reports of primary
healthcare facilities’ programs related to neonatal resuscitation were compared to the standards of Indonesian
Pediatric Society (IPS). Health care practitioner’s (HCP) knowledge was assessed quantitatively. Case
based discussion were performed to evaluate HCP’s skill of neonatal resuscitation. Results Limited human
resources and lack of training qualifications were the most common problems (55% of respondent). Based
on quantitative analysis, the HCP’s grades were 62.9% for general practitioners, 35% for midwives, and
12,1% for nurses were considered poor knowledge. There is a strong correlation and relationship between
the HCP’s knowledge and their ability to do case-based discussion comprehensively during FGD (P=0.001;
r=0.813). Conclusion The neonatal resuscitation teams at primary healthcare facilities in Jakarta were
not ready to manage respiratory emergencies in terms of knowledge, qualifications, and human resources.
The low number of NMR in Jakarta probably because of high number referral case and underreported of
mortality case in hospital.
Keywords: neonatal mortality rate; neonatal resuscitation

KONIKA XVIII Abstract Book 37