An Estimation of Hospital Based Incidence of Neonatal Hyperbilirubinemia in Term Newborns and Associated Risk Factors in a North Indian Setting
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Objective: To estimate the incidence of neonatal hyperbilirubinemia in newborns and associated risk factors. Study design: Prospective cross-sectional study. Study site: Department of Pediatrics, Integral Institute of Medical Sciences, Lucknow, UP. Study subjects: 244 healthy full-term newborns with gestational age ≥37 and ≤42 weeks with birth weight of ≥2.5 kgs born in this hospital. Results: Male-134 (54.9%) and female-110 (45.1%)] were included in the study. Mean birth weight was 2.76 (±0.16) kg. Nearly half (48.8%) of the newborns had ABORh B+. The neonatal hyperbilirubinemia was observed in 56 (23%) newborns. The incidence was higher in males (28.4%) than in females (16.4%). The incidence of neonatal hyperbilirubinemia was significantly higher in those newborns whose mother’s gestational age was <38 weeks (62.5%) as compared to those whose gestational age was >=38 weeks (17%) and this was statistically significant (p=0.0001). The presence of anemia in mothers was significantly associated with the neonatal hyperbilirubinemia. The risk was higher in those neonates who had history of hyperbilirubinemia in sibling. Conclusions: Health care providers working with neonates play a key role in identifying and assessing neonates at risk for pathologic jaundice. Parents counseling is required for bringing their babies early to prevent acute bilirubrubin encephalopathy and subsequent kernicterus
Authors and Affiliations
Dr. Anil Kumar
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