International Journal of Applied Research
Vol. 2, Issue 2, Part E (2016)
Assessment of factors leading to neonatal hyperbilirubinemia: A hospital based study
Jaundice is most frequent problem faced by neonates in the first few week of their life. The aim of the study is to find out the aetiology of hyperbilirubinemia in neonates admitted in neonatal intensive care unit in our hospital. In this observational study 187 newborns were registered prospectively over 1 year of study period from November 2014 to January 2016.In this study all the newborns less than 28 days of age were included who had clinical jaundice and confirmed by bilirubin estimation by blood. The investigations done were Blood grouping & Rh typing of baby & mother, Serum bilirubin (total, direct bilirubin), complete blood count, reticulocyte count, comment on peripheral smear, G6-PD estimation, direct Coombs' test, TSH. The results revealed that out of 2120 babies delivered in this period, 686 (32.35%) babies have clinical jaundice, but Hyperbilirubinemia needing transfer to neonatal intensive care unit for phototherapy was in 381 (17.97%) cases. The commonest causes of pathological jaundice were found to be Prematurity, Excessive weight Loss, ABO setting. Direct Hyperbilirubinemia was observed in 8 babies, among which 3 were from biliary atresia and 3 from ABO incompatibility, 1 from Rh incompatibility. Most of the babies had onset of jaundice between days 3-7 of life. Exchange transfusion was conducted in 6 cases, 3 from G6PD deficiency, 2 from Rh incompatibility.
How to cite this article:
Bhabagrahi Mallick, Jagdish Prasad Sahoo. Assessment of factors leading to neonatal hyperbilirubinemia: A hospital based study. Int J Appl Res 2016;2(2):318-320.