الفهرس | Only 14 pages are availabe for public view |
Abstract About 60% of term and 80% of preterm infants develop jaundice during the first week of life. Most of the jaundice of the newborns is physiological. Phototherapy considered one of the most effective non-invasive treatment of neonatal indirect hyperbilirubinemia. Generally, the side effects of neonatal phototherapy are not serious and seem to be well controlled, such as loose stools, erythematous macular rash, overheating, dehydration This was prospective observational study aimed at the evaluation of cases of neonatal jaundice as regards a number of cases, risk factor complication management,and outcome. This study had been carried out in NICU of Elgalaa Teaching Hospital, over a period of six months and was conducted on 70 neonates. Data collected from files included history taking, clinical examination including, routine lab investigations and lab testing for jaundice. Different modes of therapy were recorded and outcome of patients also assessed. The results of this study showed the following: (35.9%) of a total number of cases suffering from indirect hyperbilirubinemia. History of another sibling with jaundice cesarean delivery and male are the risk factor for hyperbilirubinemia. fullterm more affected than preterm. Abo incombitabilty is the most common cause. Intensive phototherapy decrease the need for exchange. All neonate are discharged living with no neurological abnormalities in form of poor feeding .tone abnormalities or seizures. In conclusion, the present study proved that neonatal indirect hyperbilirubinemia is an existing problem in our NICUs related to many etiological and risk factors. It showed that phototherapy was the mostly used mode of therapy, and also proved that intensive phototherapy and medical treatment decrease the need for exchange transfusion and thus, the dangerous side effects of exchange can be avoided. |