Prevalence and Associated Factors of Neonatal Hyperbilirubinemia among NICU Cases in Abshway Central Hospital

Document Type : Full Length research Papers

Authors

1 Pediatrics department, Fayoum University

2 public health & community medicine department, Fayoum University

3 Abshway Central Hospital, Fayoum

Abstract

Introduction: Neonatal hyperbilirubinemia, with its different etiologies, is one of the most common
diseases in the neonatal period. It might lead to neonatal intensive care unit (NICU) admission with
hazardous complications, if not adequately treated.
Aim of the study: The current study aimed to determine the prevalence and associated factors of neonatal
jaundice in neonates admitted to the NICU of Abshway Central Hospital in the last five years (from January
2014 to December 2018).
Subjects and Methods: This retrospective cross-sectional study was conducted on all neonates admitted
due to different etiologies in the NICU department of Abshway Central Hospital from January 2014 to
December 2018, excluding neonates with major congenital anomalies. Data were collected from hospital
records in a data collection sheet, including demographic characters, maternal characters, and data on
jaundice history, clinical findings, associated risk factors, and associated diseases.
Results: The study illustrated that the prevalence of jaundice was 59.8% of neonates admitted to NICU,
46.9% of jaundiced cases were diagnosed as jaundice due to breastfeeding, and 27.5% were diagnosed as
jaundice due to inadequate caloric intake. All patients with risk factors, prematurity, septicemia, and
Caesarian section (CS) deliveries had the higher percentage among cases.
Conclusion: The high prevalence of jaundice was found to be due to breastfeeding, inadequate caloric
intake, prematurity, septicemia, and CS deliveries. Early and proper management and follow-up of cases
with significant neonatal jaundice for early detection and proper management of complications and avoiding
severe complications.
 

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