Study of the Incidence of Hearing Impairment among Neonates with Hyperbilirubinemia
Journal Title: The Indian Journal of Maternal-Fetal and Neonatal Medicine - Year 2019, Vol 6, Issue 1
Abstract
Background and objectives: Hyperbilirubinemia is associated with hearing impairment. This study was aimed to evaluate the incidence of hearing impairment among the term neonates with hyperbilirubinemia by using otoacostic emission (OAE) and auditory brainstem response (ABR). Methods: This one year hospital based prospective observational study was conducted from January 2017 to December 2017. A Total of 190 healthy term neonates with hyperbilirubinemia admitted at KIMS, Hubballi during the study period were studied. Most of the neonates were boys (60.53%) and boy to girl ratio was 1.53:1. History of consanguineous marriage was noted in 6.32% of the parents. The mean age was 4.73 ± 2.65 days. Majority of the neonates (97.37%) weighed between 2.5 to 3.5 Kg. The mean birth weight was 2.84 ± 0.84 Kg. The mean direct bilirubin levels were 0.88 ± 29 mg/dL and mean total bilirubin levels were 17.3 ± 2.58 mg/dL. During OAE-I, 33.16% of the neonates were advised to refer for second OAE and during OAE-II, 2.63% of the neonates were advised to undergo BERA. The incidence of hearing impairment based on BERA findings was 2.63%. 60.53% of the babies were born by LSCS while 39.47% were born through vaginal route and all the babies with hearing impairment had vaginal delivery while none of the baby with LSCS had hearing impairment (p=0.009). No association was found between hearing impairment in neonate with sex, age at admission and history of consanguineous marriage in parents and total bilirubin levels (p>0.050). Also the mean direct bilirubin, total bilirubin, birth weight, duration of NICU stay and age admission (p>0.050) were similar in babies with and without hearing impairment. Conclusion and interpretation: The present study showed incidence of hearing impairment as 33.16% based on OAE examination and 2.63% based on BERA.
Authors and Affiliations
Illalu Shivanand
Keywords
Related Articles
- EP ID EP628068
- DOI 10.21088/ijmfnm.2347.999X.6119.10
- Views 96
- Downloads 0
Impact of Oxytocin on Latch Score and Correlation of Latch Score with Breast Feeding Self Efficacy Scale at a Tertiary Care Referral Unit in South India: A Prospective Cohort Study
Context: Assessment of breast feeding efficiency and impact of drugs used during labor is essential to increase success of breast feeding. Aims: To study impact of Oxytocin on LATCH scores, prediction of exclusive breast...
Comparative Study of Intravenous Iron Sucrose Versus Ferric Carboxymaltose for the Treatment of Iron Deficiency Anemia during Pregnancy and Postpartum Period
Objectives: The present study aims at advantages of ferric carboxymaltose therapy over iron sucrose in iron deficiency anaemia of ante natal and postnatal patient. Methods: A prospective observational study was carried...
Maternal Factors Affecting Fetal Growth: Review Series 2
Successful pregnancy is unique achievement in women's life. Fetal weight is interplay of maternal, genetic, environmental, placental, hormonal and fetal factors. In this article, maternal factors affecting fetal growth w...
A Study of Assessment of Fetal Weight in Term Pregnancy by Abdominal Girth and Symphysio Fundal Height and Comparison with Actual Birth Weight of Baby
Introduction: Prediction of fetal weight has been a subject which has interested many workers. It is useful for the prevention of prematurity by avoiding delivery of small babies through induction or caesarean section. A...
To Study Impact of Advanced Maternal Age on Pregnancy Outcome at Tertiary Care Center
Introduction: ”Successful motherhood is the unique achievement in woman’s life” Advanced maternal age is defined as age 35 years or more for the mother at the time of delivery. Across the world, there is a rising trend a...