CORRELATION OF CORD BLOOD BILIRUBIN WITH SIGNIFICANT NEONATAL HYPERBILIRUBINEMIA IN TERM NEWBORNS

Dr PM Khare; Dr Pradeep singh

Volume : VI, Issue : I, January - 2016

CORRELATION OF CORD BLOOD BILIRUBIN WITH SIGNIFICANT NEONATAL HYPERBILIRUBINEMIA IN TERM NEWBORNS

Dr Pm Khare, Dr Pradeep Singh

Abstract :

Jaundice is one of the commonest problems that can occur in a newborn. It is important to identify babies at risk of hyperbilirubinemia, as it can cause acute bilirubin encephalopathy and kernicterus which have a high mortality and significant morbidity with long term squeal. AIMS & objective– To assess the predictive value of the cord blood bilirubin as an early predictor of neonatal hyperbilirubinemia in order to implement early treatment and there by minimize the risk of Bilirubin dependent ain damage. All the healthy newborns (37weeks–41weeks), delivered at this hospital fulfilling the inclusion and exclusion criteria were enrolled in the study. Gestational age was assessed by New Ballard score. METHODOLOGY– Cord blood bilirubin, Baby Blood group and Direct Coombs test were estimated. Repeat Serum Bilirubin estimation was done at 72 hours of age. RESULT– The statistical analysis was done using SPSS (Statistical Package for Social Sciences) Version 15.0 statistical Analysis Software. A statistically significant association of neonatal hyperbilirubinemia and cord bilirubin levels was found (p=0.003). An increase in incidence of hyperbilirubinemia with increase in cord bilirubin levels was found. CONCLUSION–i t can be concluded that cord blood bilirubin levels might have a high efficacy in early treatment of hyperbilirubinemia and minimization of risk of bilirubin dependent ain damage.