Quality Control Circle Intervention Exclusive Breastfeeding On Effects Of Newborn Physiological Jaundice

Objective: Neonatal serum bilirubin higher than a certain value, will lead to kernicterus. With the increase in breastfeeding rates, due to improper breast-feeding the newborn caused by increased serum bilirubin also increased over the previous, it was reported in some areas has become a neonatal hyperbilirubinemia of the main reasons. Thus, intervention measures which improve the success rate of breast-feeding in order to alleviate symptoms of jaundice, prevent the occurrence of kernicterus have important clinical significance. In this study, the use of Quality Control Circle intervention exclusive breastfeeding in order to improve the success rate of breast-feeding, thereby reducing neonatal hyperbilirubinemia occurred. Through the effect of exclusive breastfeeding of neonatal jaundice and physiological assessment of the situation, compare , observe before and after intervention whether such an intervention is effective and feasible, designed to promote quality in the Baby Friendly Hospital Initiative to promote exclusive breastfeeding loop intervention to reduce neonatal hyperbilirubinemia occurred.Methods: Selected through the questionnaires which are pregnant women of natural delivery and implementation of exclusive breastfeeding of in-patient obstetric of the second hospital of Jilin University. The studied case is total 120 cases, of which 60 cases come from The first treatment area, as the intervention group, 60 cases come from the second treatment zone, as a control group. when Control group of pregnant women are admitted to hospital, after the birth, before discharge, they accept the routine hospital's breastfeeding guidance; Maternal intervention group participated in the activities of Quality Control Circle. Quality Control Circle is formed of nine nurses whom come from The first treatment area.They set the theme to enhance the success rate of exclusive breastfeeding through the survey, the reasons for analysis, development and implementation of countermeasures, after all the members are trained breast-feeding ,they provide breast-feeding guidance to the pregnant women during admission, childbirth ,before discharge . They also follow up after discharge home, continue to provide breast-feeding knowledge and technical guidance and help them to resolve issues related to breast-feeding, the group of statisticians and clerks objective Records of birth weight, the number of wet diaper blocks, bowel frequency, neonatal transcutaneous bilirubin value, the first defecation time, meconium yellow time, and analyzed statistically.Results: (1) general information on two groups of comparison subjects, newborn gender, weight, mother age, gestational age, comparison of Production number were not significantly different (P> 0.05), comparable; (2) Two groups of newborns in the fifth day after birth, the eighth day, the comparison of their weight have significantly difference (P <0.01), with statistical significance; (3)The comparison of the two groups of neonates the seventh day after birth the average daily stool frequency, the blocks of wet diapers , have significantly difference (P <0.001), with statistical significance; (4) Two groups of newborns in the fifth day after birth, the eighth day compared percutaneous bilirubin, the results have significantly difference (P <0.05) with statistical significance; (5) the first time the two groups of neonatal meconium defecation time and time to Huang, there are significant differences (P <0.05), with statistical significance.Conclusion: (1) the establishment of quality control circle makes nurses master more solid breastfeeding knowledge, thus theory with practical application and clinical; (2) quality control circle activities to enable maternal a better understanding of benefits of breastfeeding, as early as sucking, open as early as milk, early exposure to and the importance of on-demand breast-feeding; (3) quality control circle activities can help pregnant women to solve the psychological problems, eating issues and related difficulty problems in breast-feeding, increase the effectiveness of breast-feeding, thereby reduce the neonatal bilirubin peak, which has shortened the duration of jaundice, reduction of neonatal hyperbilirubinemia occurred.