Effect of Intravenous Immunoglobulin in Reducing Bilirubin Levels in Hemolytic Disease of Newborn | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 1, Volume 74, Issue 5, January 2019, Page 957-968 PDF (654.75 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.25779 | ||||
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| Authors | ||||
Shaimaa Waheed Ibrahim El Fekey  1; Hamed Mohammed El-Sharkawy1; Aisha Abd-Ellatif Elsaied Ahmed2; Mohammed Abd-Ellatif Nassar1; Marwa Mohamed Elgendy1
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| 1Departments of Pediatric Medicine, Faculty of Medicine, Tanta University, Egypt | ||||
| 2Departments of Clinical Pathology, Faculty of Medicine, Tanta University, Egypt | ||||
| Abstract | ||||
| Background: hemolytic disease of the newborn is an autoimmune haemolytic disease and caused by antibodies produced due to Rh and ABO incompatibilities. Neonatal jaundice is a common clinical problem encountered during the neonatal period. To avoid the associated neurological complications; exchange transfusion and phototherapy have been traditionally used. Aim of the work: was to assess the efficacy of intravenous immunoglobulins in neonates with Rh and/or ABO incompatibility in reducing the duration of phototherapy and the need for exchange transfusion and hospital stay. Subjects and Methods: in this clinical intervention study 40 patients diagnosed with hemolytic disease of newborn were grouped into group A and B. All neonates were treated with standard protocol for phototherapy and exchange transfusion. Group A patients received only phototherapy. Group B patients received intravenous immunoglobulins in a dose of 0.5 gm/kg of body weight single dose and phototherapy. Exchange transfusion was given to the patients of both groups if the bilirubin rose by 0.5 mg/dl per hour. Results: there was a significant decrease of bilirubin level in group B [that received phototherapy plus Intravenous Immunoglobulin (IVIG)] than group A [that received phototherapy only]. Hospital stay and duration of phototherapy decreased in group B than group A. Number of cases exchanged blood in group A was higher than cases of group B. Conclusion: addition of intravenous immunoglobulins for treatment of hemolytic disease of newborn significantly reduces bilirubin levels, duration of phototherapy, need for exchange transfusion and hospital stay. | ||||
| Keywords | ||||
| Hemolytic Disease of Newborn; Bilirubin; Intravenous Immunoglobulin | ||||
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