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Evaluation of Risk Factors and Management of Neonatal Jaundice in Newborns Admitted in a Tertiary Care Hospital of Rural Haryana

Received: 15 July 2021    Accepted: 2 August 2021    Published: 9 August 2021
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Abstract

Introduction: Neonatal jaundice is one of the most common medical problems in healthy full-term infants during the immediate postnatal period. Neonatal jaundice is the most common cause of readmissions in hospitals in the neonatal period. In low-resource settings, where the majority of births occur outside facilities and access to monitoring and laboratory testing is limited, many of the proven diagnostic and treatment strategies are not available. Aim and objectives: The harmful effects of hyperbilirubinemia can be prevented by early recognition and prompt management of those at risk. This study was aimed to provide information on the risk factors and management associated with neonatal jaundice in a low-resource setting with the objective of identifying potentially modifiable risk factors to reduce the incidence and consequences of jaundice in neonates. Methodology: Patients of Jaundice admitted in pediatrics ward, Bhagat Phool Singh Government Medical College for a period of 4 months formed the sample population. Data included birth weight, gestational age, mother’s age, the onset time of hyperbilirubinemia, the onset of breast feeding, history of formula feeding and technique of delivery. Lab data including CBC, bilirubin levels, blood group & Rh type of mother and neonates. Microsoft word and SPSS software were used for the analysis of the results. Results: Among 100 neonates with neonatal jaundice 19% of neonates were pre term. 89 neonates were given exclusive breastfeeding. 4 of them were given infant formula powder and the remaining 7 were fed on cow’s milk. Gestational age <37 weeks was present in 19. Birth weight of 22 neonates was <2000g. 77% of them were born by vaginal delivery and 23% by caesarean section. In management of neonates, phototherapy was done in 89 neonates, 10 neonates were given conservative treatment and 1 was referred to higher center for exchange transfusion. Conclusion: Several known risk factors for neonatal jaundice were confirmed in this study. It is very essential for health care professionals to be aware of all potential risk factors so that the disease is detected and treated early. The LED phototherapy has decreased the need of exchange transfusion in neonatal jaundice.

Published in American Journal of Pediatrics (Volume 7, Issue 3)
DOI 10.11648/j.ajp.20210703.21
Page(s) 150-153
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Neonatal, Bilirubin, Jaundice, Phototherapy

References
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[17] American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation [published correction appears in Pediatrics. 2004; 114 (4): 1138]. Pediatrics. 2004; 114 (1): 297–316.
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    Rupan Deep Kaur, Sonika Lamba, Manoj Rawal. (2021). Evaluation of Risk Factors and Management of Neonatal Jaundice in Newborns Admitted in a Tertiary Care Hospital of Rural Haryana. American Journal of Pediatrics, 7(3), 150-153. https://doi.org/10.11648/j.ajp.20210703.21

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    ACS Style

    Rupan Deep Kaur; Sonika Lamba; Manoj Rawal. Evaluation of Risk Factors and Management of Neonatal Jaundice in Newborns Admitted in a Tertiary Care Hospital of Rural Haryana. Am. J. Pediatr. 2021, 7(3), 150-153. doi: 10.11648/j.ajp.20210703.21

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    AMA Style

    Rupan Deep Kaur, Sonika Lamba, Manoj Rawal. Evaluation of Risk Factors and Management of Neonatal Jaundice in Newborns Admitted in a Tertiary Care Hospital of Rural Haryana. Am J Pediatr. 2021;7(3):150-153. doi: 10.11648/j.ajp.20210703.21

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  • @article{10.11648/j.ajp.20210703.21,
      author = {Rupan Deep Kaur and Sonika Lamba and Manoj Rawal},
      title = {Evaluation of Risk Factors and Management of Neonatal Jaundice in Newborns Admitted in a Tertiary Care Hospital of Rural Haryana},
      journal = {American Journal of Pediatrics},
      volume = {7},
      number = {3},
      pages = {150-153},
      doi = {10.11648/j.ajp.20210703.21},
      url = {https://doi.org/10.11648/j.ajp.20210703.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210703.21},
      abstract = {Introduction: Neonatal jaundice is one of the most common medical problems in healthy full-term infants during the immediate postnatal period. Neonatal jaundice is the most common cause of readmissions in hospitals in the neonatal period. In low-resource settings, where the majority of births occur outside facilities and access to monitoring and laboratory testing is limited, many of the proven diagnostic and treatment strategies are not available. Aim and objectives: The harmful effects of hyperbilirubinemia can be prevented by early recognition and prompt management of those at risk. This study was aimed to provide information on the risk factors and management associated with neonatal jaundice in a low-resource setting with the objective of identifying potentially modifiable risk factors to reduce the incidence and consequences of jaundice in neonates. Methodology: Patients of Jaundice admitted in pediatrics ward, Bhagat Phool Singh Government Medical College for a period of 4 months formed the sample population. Data included birth weight, gestational age, mother’s age, the onset time of hyperbilirubinemia, the onset of breast feeding, history of formula feeding and technique of delivery. Lab data including CBC, bilirubin levels, blood group & Rh type of mother and neonates. Microsoft word and SPSS software were used for the analysis of the results. Results: Among 100 neonates with neonatal jaundice 19% of neonates were pre term. 89 neonates were given exclusive breastfeeding. 4 of them were given infant formula powder and the remaining 7 were fed on cow’s milk. Gestational age <37 weeks was present in 19. Birth weight of 22 neonates was <2000g. 77% of them were born by vaginal delivery and 23% by caesarean section. In management of neonates, phototherapy was done in 89 neonates, 10 neonates were given conservative treatment and 1 was referred to higher center for exchange transfusion. Conclusion: Several known risk factors for neonatal jaundice were confirmed in this study. It is very essential for health care professionals to be aware of all potential risk factors so that the disease is detected and treated early. The LED phototherapy has decreased the need of exchange transfusion in neonatal jaundice.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Risk Factors and Management of Neonatal Jaundice in Newborns Admitted in a Tertiary Care Hospital of Rural Haryana
    AU  - Rupan Deep Kaur
    AU  - Sonika Lamba
    AU  - Manoj Rawal
    Y1  - 2021/08/09
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajp.20210703.21
    DO  - 10.11648/j.ajp.20210703.21
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 150
    EP  - 153
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20210703.21
    AB  - Introduction: Neonatal jaundice is one of the most common medical problems in healthy full-term infants during the immediate postnatal period. Neonatal jaundice is the most common cause of readmissions in hospitals in the neonatal period. In low-resource settings, where the majority of births occur outside facilities and access to monitoring and laboratory testing is limited, many of the proven diagnostic and treatment strategies are not available. Aim and objectives: The harmful effects of hyperbilirubinemia can be prevented by early recognition and prompt management of those at risk. This study was aimed to provide information on the risk factors and management associated with neonatal jaundice in a low-resource setting with the objective of identifying potentially modifiable risk factors to reduce the incidence and consequences of jaundice in neonates. Methodology: Patients of Jaundice admitted in pediatrics ward, Bhagat Phool Singh Government Medical College for a period of 4 months formed the sample population. Data included birth weight, gestational age, mother’s age, the onset time of hyperbilirubinemia, the onset of breast feeding, history of formula feeding and technique of delivery. Lab data including CBC, bilirubin levels, blood group & Rh type of mother and neonates. Microsoft word and SPSS software were used for the analysis of the results. Results: Among 100 neonates with neonatal jaundice 19% of neonates were pre term. 89 neonates were given exclusive breastfeeding. 4 of them were given infant formula powder and the remaining 7 were fed on cow’s milk. Gestational age <37 weeks was present in 19. Birth weight of 22 neonates was <2000g. 77% of them were born by vaginal delivery and 23% by caesarean section. In management of neonates, phototherapy was done in 89 neonates, 10 neonates were given conservative treatment and 1 was referred to higher center for exchange transfusion. Conclusion: Several known risk factors for neonatal jaundice were confirmed in this study. It is very essential for health care professionals to be aware of all potential risk factors so that the disease is detected and treated early. The LED phototherapy has decreased the need of exchange transfusion in neonatal jaundice.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • Medicine, Bhagat Phool Singh Government Medical College for Women, Sonepat, India

  • Medicine, Bhagat Phool Singh Government Medical College for Women, Sonepat, India

  • Paediatrics, Bhagat Phool Singh Government Medical College for Women, Sonepat, India

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