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Objective: To find the frequency of different causes of unconjugated hyperbilirubinemia in admitted term neonates. Study Design: Cross-sectional study. Place and Duration of Study: The study was conducted at the neonatal ward of the Children’s Hospital and the Institute of Child Health, Lahore from 20 August 2018 to 19 February 2019. Material and Methods: The criteria of inclusion was neonates from birth to twenty eight days of life having unconjugated hyperbilirubinemia. Consent was taken and all the data was written on pre designed proforma. Results: A total of 200 patients were enrolled. There were 140 (70%) male and 60 (30%) female neonates in the study group. The mean serum bilirubin was 9.96 ± 2.47 mg/dl. Seventy seven (38.5%) neonates had hemolytic jaundice, 26% had ABO incompatibility while 12.5% had Rh incompatibility. Twenty four (12%) had non-hemolytic jaundice due to breast feeding while breast milk jaundice was diagnosed in 99 (49.5%) neonates. Conclusion: Most common cause was hemolytic jaundice among neonates. By identifying different causes of neonatal hyperbilirubinemia, we can reduce disease burden in our community by formulating measures for their early detection, prevention and management of severe neonatal jaundice.

FAREEHA KAUSER, AFSHEEN BATOOL RAZA, NIGHAT SULTANA, Farrah Naz, Sara Saeed. (2021) Etiology of Unconjugated Hyperbilirubinemia in Admitted Term Neonates, Pakistan Pediatric Journal, Volume 45, Issue 1.
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