Hello Wise Ones,
I have a question for those currently working with (or with recent
knowledge about) "normal" breastfeeding newborns and their moms in
hospitals postpartum. What is your hospital's practice regarding
phototherapy: if the baby is under lights (in addition to/instead of a
biliblanket), does the phototherapy have to be done in the nursery, or
can it be done in mom's room? Are you aware of any actual evidence
supporting in-mom's-room vs. in-nursery provision of phototherapy? Any
risks to either (aside from potential for increased mother-infant
separation and negative impact on breastfeeding when baby is kept in
nursery except for feedings)?
Thanks for your replies, and Happy Holidays to All!
Suellen Williams, RN, BSN, IBCLC
Indianapolis, IN
Hi Suellen
It depends on the level, we do phototherapy in the postnatal ward or at home for physiological jaundice. Whereas pathological jaundice is treated in the Nursery or occasionally on the postnatal ward. Occasionally an ABO incompatibility baby will have ongoing phototherapy at home with midwifery support.
When we set it up 5 years ago, we had the research. Here are a couple of articles we used for the move to home, we have been doing phototherapy on the postnatal ward for over 26 years (as long as I have worked in this hospital).
Paul I M, Phillips T A, Widome M D, and Hollenbeak C S, (2004) Cost-Effectiveness of
Postnatal Home Nursing Visits for Prevention of Hospital Care for Jaundice and Dehydration Pediatrics Vol. 114 No. 4 October 2004, pp. 1015-1022.
Royal Prince Alfred Women’s Health and Newborn Care (2002) Midwifery Discharge Support Program. (Unpublished)
I hope this is of some help
Gwen
Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964, 0422212774
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135
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