Study of clinical features and associated factors in newborn with polycythemia with high risk antenatal and natal factors
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 2
Abstract
Introduction: Various risk factors such as birth asphyxia, toxemias of pregnancy (preeclampsia /eclampsia), twin pregnancies, hypertension, postmaturity, suspected intrauterine growth retardation, maternal diabetes etc have been reported by various authors associated with polycythemia. Symptomatic children show wide range of symptoms such as lethargy, plethora or cyanosis, poor suck, drowsiness, jitteriness, seizures, myoclonic jerks, vomiting, tachypnea, tachycardia, hepatomegaly and jaundice. Aims and Objectives: To study the various clinical features and associated factors in newborn with polycythemia with high risk antenatal and natal factors. Materials and Methods: In the present study newborn with various high risk antenatal factors were enrolled. A detailed antenatal (medical and obstetric), intrapartum history of mother was recorded on a prestructured proforma. Complete clinical examination was done in newborns. Cord blood hematocrit determined was done by Wintrobe's hematocrit method from each of the newborns. Results: Out of total 200 newborns, 21 newborn were polycythemic. Most common high risk factor observed in the present study was birth asphyxia. And out of these 93 cases polycythemia was diagnosed in 9 newborns. Majority (13) of the polycythemic newborn were having hematoocrit between the range of 65% to 69%. Incidence of polytheminia in twin pregnancies was found to be 22.72%. It was observed that majority of the polycythemic newborn were having birth weight less than 2500gms. Polycythemic newborns have a varying range of clinical manifestations affecting any system but more often the cardiopulmonary and central nervous system than others. Conclusion: Respiratory distress, cynosis, plethora, jitterines and jaundice with hyperbirubinemia are the commonest symptoms observed in polycythemtic babies. Convulsions, hypotonia, congestive cardiac failure are found with low frequency.
Authors and Affiliations
R C Mahajan, Lalit Une, Sharad Bansal
Keywords
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