Volume 19, Issue 63 (1-2019)                   Zanko J Med Sci 2019, 19(63): 1-7 | Back to browse issues page

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Distribution of Severity and Causes of Hyperbilirubinemia in Newborns Hospitalized in Besat Hospital in Sanandaj (2013- 14). Zanko J Med Sci 2019; 19 (63) :1-7
URL: http://zanko.muk.ac.ir/article-1-407-en.html
Abstract:   (1935 Views)
Background and Aim: Neonatal hyperbilirubinemia,  if diagnosed early, is curable and its adverse effects can be prevented. Detecting the causes of hyperbilirubinemia may lead to designing and implementing appropriate interventions. Therefore, the aim of this study was to evaluate the distribution of severity of bilirubinemia in infants hospitalized in Besat hospital in Sanandaj.
Material and Method: A total of 300 medical records of infants with non-pathologic hyperbilirubinemia who were hospitalized in Besat hospital in Sanandaj between November 2013 and May 2014. Data were collected by using patients’ records and laboratory tests. Term or preterm delivery, gender, infant’s feeding type, blood group incompatibility, presence of Cephalhematoma, history of neonatal jaundice in previous delivery, and macrosomia were evaluated through patient’s record to determine the causes of hyperbilirubinemia. In laboratory tests, for preterm neonates (Gestational Age < 37 weeks), bilirubinemia lower and higher than 18mg/dl considered respectively as mild and severe hyperbilirubinemia. For term neonates, (Gestational Age ≥ 37 weeks), bilirubinemia lower and higher than 20mg/dl considered  respectively as mild and severe hyperbilirubinemia. Data were analyzed by  using Stata 12.
Results: Findings of the present study showed that 15% of the neonates were preterm and 85% of them were term. Also, 35.6% of the term neonates and 30.2% of the preterm neonates reported severe hyperbilirubinemia. 55.3% (n=166) of the subjects were male. Severity of hyperbilirubinemia was significantly different between male and female infants (p= .030). Moreover, in term infants a significant difference was observed between infants who had siblings with history of neonatal jaundice and those who don’t have..
Conclusion: Hyperbilirubinemia, which is positively associated with developing neonatal jaundice, is an indicator for proper treatment. Therefore, regular screening is essential to ensure identification of infants with severe hyperbilirubinemia
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Type of Study: Research | Subject: General
Received: 2018/05/28 | Accepted: 2018/07/7 | ePublished: 2019/01/15

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