Prevalence of neonatal jaundice in term newborn in Measariang hospital and risk of complication

Abstract

Abstract

Objective : The purpose of this study was to study the prevalence and associated factors of severe neonatal jaundice which leads to complication of neonatal jaundice in term new born in Maesariang hospital.

Material and Methods : Descriptive retrospective study was done. The data were collected from medical records of term newborn who admitted in Maesariang hospital between 1 July 2020 – 30 June 2023. The newborns were diagnosed as neonatal jaundice by pediatricians. We collected general document, laboratory, treatment and cause of neonatal jaundice. Percentage, mean was presented and the associated factor about high level of bilirubin that leads to complication were analyzed using chi-squared.

Results : There were 368 term newborns that had neonatal jaundice from 2,411 term newborns in Maesariang hospital. The prevalence of neonatal jaundice was 15%. The average of bilirubin level was 14.43 (SD 2.59). Most cause of neonatal jaundice was unspecified (41.6%). All of neonatal jaundice new born was treated by phototherapy and 63 newborn was received intensive photo therapy. 11 newborn was treated by total exchange transfusion. In these 11 newborns, there were two newborns had kernicterus. Nationality is the factor that leads to complication with statistic significant (p-value <0.01).

Conclusion : The prevalence of neonatal jaundice in Maesariang hospital was 15% and nationality is the factor that lead to complication with statistic significant.

Keywords : Neonatal jaundice, hyperbilirubinemia