![]() | Only 14 pages are availabe for public view |
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. |