Total and Ionic Serum Calcium Level in Icteric Newborn Receiving Phototherapy
Journal Title: People's Journal of Scientific Research. - Year 2016, Vol 9, Issue 2
Abstract
Jaundice is the most common condition that requires medical attention in newborns. The study was conducted on 100 neonates (42 preterm and 58 term) presenting with neonatal hyperbilirubinemia requiring phototherapy. Only normal neonates were included in study. Measurement of total and ionic serum calcium levels was done before and after 48 hours of institution of phototherapy. The sample collected before the start of phototherapy was taken as control. After 48 hours of phototherapy there was a statistically significant fall in total and ionic serum calcium levels in 54 % neonates. It was observed that hypocalcemia was more common in preterms (67%) than term (45%) neonates after receiving phototherapy for 48 hours. The present study shows hypocalcemia was more common in preterms and term newborns having higher total serum bilirubin levels. A statistically significant difference was observed in total calcium levels between TSB groups 15.1- 20 and 20.1-30 mg/dl. The neonates were clinically assessed for features of hypocalcemia and it was found that preterms developed more symptoms of hypocalcemia than term neonates. Jitteriness was the most common symptom observed. It was concluded that phototherapy induced hypocalcemia is a significant problem. Thus, calcium supplementation may be considered especially in neonates with higher range to total serum bilirubin
Authors and Affiliations
Dushyant Rastogi, , RS Sethi, , D Nath, , Anuj Sethi
Keywords
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