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

Al Gameel, Al Kassem A.; El-Sary, Asmaa Y.; Mahmoud, Reham A.; Abd El-Hmid, Rehab G.

doi:10.21608/fumj.2023.278459

	Prevalence and Associated Factors of Neonatal Hyperbilirubinemia among NICU Cases in Abshway Central Hospital
Fayoum University Medical Journal
Volume 11, Issue 1, January 2023, Page 19-27 PDF (386.6 K)
Document Type: Full Length research Papers
DOI: 10.21608/fumj.2023.278459
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Authors
Al Kassem A. Al Gameel¹; Asmaa Y. El-Sary²; Reham A. Mahmoud³; Rehab G. Abd El-Hmid ¹
¹Pediatrics department, Fayoum University
²public health & community medicine department, Fayoum University
³Abshway 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.
Keywords
Neonates; Jaundice; Breast-feeding


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