A Study of Neonatal Jaundice in a Tertiary Care Centre in Eastern Bihar.

Dr. Pawan Kumar Yadav; Dr. Anil Kumar; Dr. Brajesh Kumar

Volume : VIII, Issue : VIII, August - 2018

A Study of Neonatal Jaundice in a Tertiary Care Centre in Eastern Bihar.

Dr. Pawan Kumar Yadav, Dr. Anil Kumar, Dr. Brajesh Kumar

Abstract :

Neonatal hyperbilirubinemia is the most common reason for admission in the neonatal period (first month of life) worldwide.The skin of the newborn baby becomes jaundiced, which is caused by a high level of bilirubin in the blood. In some neonates the level of bilirubin increases to a level that can cause aindamage or even death. Hyperbilirubinemia is a common problem during the neonatal period occurring in up to 60% of term and 80% of preterm babies in the first week of life. Some of the most common causes of neonatal jaundice include physiological jaundice, east feeding or non feeding jaundice, east milk jaundice, prematurity and ABO incompatibility. Aims and objectives of study: To study the incidence, various risk factors in newborns with clinical jaundice progressing to jaundice needing treatment and to assess no. of neonates requiring phototherapy & exchange transfusion in JawaharLal Nehru Medical College and Hospital, Bhagalpur, Bihar, during June 2016 to July 2017. Method: The present study was a prospective hospital based study involving all neonates who were born at JawaharLal Nehru Medical College and Hospital, Bhagalpur, Bihar. Observation: Out of 280 newborns, 136 (48.57%) newborns developed clinical jaundice. Out of 136 newborns with clinical jaundice, 83 (61%) newborns developed physiological jaundice and 53 (39%) newborns developed non physiological jaundice requiring therapeutic intervention in the form of phototherapy or exchange transfusion. Conclusion: Present study concludes that the leading cause of pathological jaundice is eastfeeding jaundice, ABO incompatibility and prematurity.