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العنوان
Prevalence and Associated Factors of Neonatal Hyperbilirubinemia Among NICU Cases in Abshway Central Hospital /
المؤلف
Moftah، Reham Abdel-Monem Mahmoud.
هيئة الاعداد
باحث / ريهام عبدالمنعم محمود مفتاح
مشرف / القاسم أحمد الجميل
مشرف / رحاب جلال عبدالحميد
مناقش / أسماء يونس السيد
الموضوع
Qrmak
تاريخ النشر
2020
عدد الصفحات
113 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
8/2/2020
مكان الإجازة
جامعة الفيوم - كلية الطب - طب الاطفال
الفهرس
Only 14 pages are availabe for public view

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Abstract

Background: Neonatal hyperbilirubinemia with its different etiologies
is one of the most common diseases in the neonatal period leading to neonatal
intensive care unit (NICU) admission with hazardous complications If not
adequately treated.
Aim of the work: This study was set out to determine the prevalence and
associated factors of neonatal jaundice in neonates admitted in NICU of Abshway
Central Hospital in the last five years (from January 2014 to December 2018). It is
hoped that the results would be a necessary tool in formulating measures of
prevention, early detection and management of severe neonatal jaundice thereby
reducing the disease burden in the community.
Methods: This retrospective cross sectional study was conducted on all
neonates admitted for jaundice with different etiologies in the NICU department of
Abshway Central Hospital in the previously mentioned duration excluding neonates
with major congenital anomalies. Data was collected from hospital records in data
collection sheet including demographic characters, maternal characters and data of
jaundice history, clinical findings, associated risk factors and associated diseases.
Results: study illustrated that the prevalence of jaundice was 59.8% of
neonates admitted in NICU, 46.9% of jaundiced cases was diagnosed as jaundice
due to breast-feeding, 27.5% diagnosed as jaundice due to inadequate caloric intake.
As regards risk factors prematurity, septicemia and Caesarian section (CS) deliveries
had the higher percentage among cases.
Conclusion: the high prevalence of jaundice was found to be due to breast
feeding, inadequate caloric intake, prematurity and septicemia respectively together
with CS deliveries.
Recommendations: improving antenatal care services, routine follow-up of
newborns - especially those with risk factors - in primary health care units, health
education of the future parents about benefits of NVD and risk factors of NJ,
continuous medical education of the physicians and early & proper management of
cases are all recommended to decrease the incidence of the disease and possible
complications.
Key words: Neonates, Jaundice, Breast-feeding, Prematurity, Septicemia.