Asuhan Kebidanan pada Bayi Baru Lahir Dengan Ikterus Fisiologis

Abstract

Physiological jaundice occurs at >24 hours of life and disappears <14 hours of life with bilirubin levels on the second to fourth day of life of 5-6 mg/dl and decreases to <24 hours, or more than 14 days of life with bilirubin levels reaching 5-10 mg/dl. The purpose of writing this Final Assignment Report is to provide midwifery care to Mrs. F's baby with Physiological Jaundice at the Raden Seto Clinic, Central Lampung. The method used in compiling this Final Assignment Report is a case report with SOAP documentation. Data collection techniques used were interviews, physical examination, observation, and documentation study. The results of the subjective data assessment obtained were a baby born at 39 weeks of gestation. The mother came for a follow-up visit 3 with complaints of jaundice on the baby's face, sclera, and neck. The baby rarely breastfeeds due to the mother's low milk production and rarely exposed to the sun due to cloudy morning weather for 3 days. Objective data obtained were a general examination of the baby in good condition, weight: 3000 grams, height: 49 cm. The results of the physical examination showed that the skin of the face, sclera, and neck appeared yellow. Therefore, the analysis was confirmed that Mrs. D's baby was 3 days old, a full-term neonate according to gestational age with physiological jaundice. The management provided included providing education to the mother on providing breast milk on demand, proper breastfeeding techniques, as well as nutritional needs for breast milk production and sun therapy. Based on the results of the care that had been carried out, the baby was in a healthy condition, with reddish skin and no complications. The mother was also able to breastfeed her baby well. Suggestions for the client are expected to continue to provide breast milk as often as possible exclusively to her baby.

Keywords: Jaundice, Newborn