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RISK FACTORS AND OUTCOMES OF NEONATAL JAUNDICE AT AL-RAMADI TEACHING HOSPITAL FOR MATERNITY AND CHILDHOOD

Jaundice’ is a yellow-orange discoloration of the skin and sclera because of excessive bilirubin in the skin and mucous membrane. Jaundice caused by indirect neonatal hyperbilirubinemia (INH) is a common and a frequent cause of neonatal admission to health care facilities all around the world. The main aim of this study is to determine the prevalence of neonatal jaundice and explore its risk factors in term and preterm neonates In this cross-sectional study Newborns sampled after delivery and before discharge who developed hyperbilirubinemia and required phototherapy and/or exchange transfusion within the first 14 days of life included in this study. Those who do not require phototherapy excluded from the study. The investigation done according to clinical feature, and include Complete blood count, serum bilirubin, blood group, TSH, Coombs test, reticulocyte count, ABO, Rh, G6PD and TORCH screening The total number of study patients was 487. All of them were neonates diagnosed with neonatal jaundice. In table (1), 47% of patients were aged between 3 – 5 days; 58.7% of them developed jaundice at age between 1 – 3 days; 60.4% were males; 43.5% were delivered at Summer season; 76.8% of them were full-term; 83.6% were weighed ≥ 2500 gm; 55.2% were delivered by NVD; 37.6% were fed by breast and bottle feeding; 2.1% showed kernicterus signs; 9.4% needed exchange transfusion; and two patients (0.4%) were died.