Growth and development and the changing needs of infants with hyper-bilirubin (such as stimulation, exercise, and social contacts) has always been the responsibility of parents in fulfilling it by following the rules and the description given during hospitalization and follow-up care at home.
Factors that must be delivered to the mother can do the best in baby care hyper-bilirubinemia (warley & Wong, 1994):
1. Instruct the mother revealed / reported when the infant suffered disturbances of consciousness such as seizures, anxiety, apathy, appetite decreased breastfeeding.
2. Encourage mothers to pump milk using a tool for a few days to maintain a smooth milk.
3. Provide an explanation of procedures to lower the replacement fototherapi baby’s bilirubin levels.
4. Advised the mother to consider dismissal of the ASI in terms of preventing an increase in bilirubin.
5. Taught about skin care:
- Bathing with mild soap and warm water.
- Prepare the tools to clean the eyes, mouth, perineal area and the area around the damaged skin.
- Use a moisturizer after cleansing skin to retain moisture.
- Avoid using baby clothes on the skin adhesive.
- Avoid the use of talc in the groin and body because it can lead to blisters due to friction
- Looking at risk factors that can cause skin damage such as pressing a long, scratching.
- Exempt from the skin like a wet loom: a wet diaper for the chapter and tub.
- Conduct a rigorous assessment of the nutritional status of infants such as: skin turgor, capilari reffil.
Another thing to note is:
1. How to bathe a baby with warm water (37 -38 C)
2. Umbilical cord care / umbilicus
3. Changing diapers and baby clothes
4. Crying is a communication if the baby is uncomfortable, bored, in contact with something new
7. How to breastfeed
9. Circumcision care
11. The signs and symptoms of disease, for example:
- lethargy (difficult infant awakened)
- fever (temperature over 37 celsius)
- vomiting (most or all of the food as much as 2 x)
- diarrhea (more than 3 x)
- no appetite.
- Prevent baby from trauma such as falling sharp objects (knives, scissors) are easily accessible by the infant / toddler.
- Prevent hot objects, electricity, and other
- Maintain the security of the baby during the journey by car or other means.
- Strict supervision of the infant by his brothers.