Table 2. Results of the survey.
Midwives | GPs | Pediatricians | * P value | ||
---|---|---|---|---|---|
N = 291 | N = 206 | N = 154 | |||
Early recognition of jaundice | To palms and soles Before 24 h of age |
44 (15) 112 (39) |
102 (49) 39 (19) |
77 (50) 60 (39) |
0.01 |
Pale-colored feces Between 24 h to 14 d Bilirubin levels of > 10 mg/dL |
52(18) 82 (28) 1 (0) |
24 (12) 22 (11) 19 (9) |
6 (4) 3 (2) 8 (5) |
||
Predischarge bilirubin measurement | Yes, mostly | 48 (17) | 53 (26) | 12 (8) | 0.01 |
Yes, if jaundice present | 147 (50) | 112 (54) | 100 (65) | ||
No | 96 (33) | 41 (20) | 42 (27) | ||
Specific guideline used | IHM guideline | 156 (54) | 55 (27) | 10 (7) | 0.01 |
WHO guideline | 41 (14) | 94 (46) | 7 (4) | ||
AAP guideline | 3 (1) | 7 (3) | 129 (84) | ||
NICE guideline | 0 (0) | 2 (1) | 3 (2) | ||
No guideline | 84 (29) | 48 (23) | 0 | ||
Other | 7 (2) | 0 (0) | 5 (3) | ||
Guideline access | Yes | 205 (71) | 142 (69) | 80 (52) | 0.01 |
Not easy | 85 (29) | 64 (31) | 74 (48) | ||
Problems in management | Education | 112 (38) | 22 (11) | 49 (32) | 0.01 |
Diagnostics | 15 (5) | 44 (21) | 32 (21) | ||
Therapy | 113 (39) | 97 (47) | 38 (24) | ||
Facilities | 51 (18) | 43 (21) | 35 (23) | ||
Case scenario | Discharge and follow- up | 18 (6) | 19 (9) | 7 (4) | 0.01 |
Lab. tests bilirubin + BG | 128 (44) | 117 (57) | 83 (54) | ||
Cancel discharge and start phototherapy | 25 (9) | 21 (10) | 62 (40) | ||
Refer to pediatrician | 120 (41) | 49 (24) | 2 (1) | ||
Discharge (LOS) | ≤ 24 h | 163 (56) | 85 (41) | 11 (7) | 0.01 |
25–48 h | 99 (34) | 111 (54) | 45 (29) | ||
> 48 h | 29 (10) | 10 (5) | 98 (64) | ||
First follow-up | ≤ 24 h | 14 (5) | 10 (5) | 0 (0) | 0.01 |
25–48 h | 107 (36) | 49 (24) | 9 (6) | ||
49–72 h | 87 (30) | 83 (40) | 66 (43) | ||
>72 h | 83 (29) | 64 (31) | 79 (51) |
Data are numbers and (percentages).
* P values are the results of Pearson’s chi-square tests between the three types of health professionals in all categories of the variables.
Abbreviations: IHM—Indonesian Health Ministry, WHO -World Health Organization, AAP -American Academy of Pediatrics, NICE—National Institute for Health and Care Excellence, BG—blood group, rhesus and Coombs testing, LOS—length of stay.