COMPARING PRE AND POST PHOTOTHERAPY VALUES OF TRANSCUTANEOUS BILIRUBIN LEVELS AND TOTAL SERUM BILIRUBIN LEVELS IN TERM INFANTS WITH NEONATAL HYPERBILIRUBINEMIA

Abstract

BACKGROUND: This is a prospective observational study to compare pre and post phototherapy values of Trans-cutanoeus Bilirubinometer(TcB) levels and Total Serum Bilirubin(TSB) in term infants with neonatal Hyperbilirubinemia in a Teritiary care centre. METHODS: All term new-born babies with Period of Gestation >37 weeks are included in our study. This is a prospective observational study carried out in neonatal division of a teritiary hospital. The pre and post transcutaneous bilirubin values of neonates who received phototherapy were recorded and compared to the standard Serum Bilirubin values. RESULTS: In our investigation, it was found that rebound hyperbilirubinemia does not signicantly differ between 2 groups, as phototherapy stopped at serum bilirubin ranges of 1- 2.9 mg/dl and ≥3mg/dl below its level under which, phototherapy initiated. There was a strong correlation in our study 44.9% of infants are born via Normal Vaginal Delivery and 54% via Cesarian section. majority of the Child 38(38.8%) are B+ Blood Group, 22(22.4%) are O+ Blood group, 22(22.4%) of Child are A+ and O+ Blood Group equally, 13(13.3%) of Child are AB+ Blood Group and 3(3.1%) of Child are B- Blood Group. Rh Status, 97(99.0%) of respondents having Positive remaining only one respondent belonging into negative group. ABO Status, 82(83.7%) of respondents responded negative, whereas the remaining 16 (16.3%) respondents responded belonging into present group. DCT, 96(98.0%) of respondents having Positive remaining only two respondents belonging into negative group. There is a positive correlation between TcB values before and after phototherapy. CONCLUSION: Neonatal Hyperbilirubinemia is a fairly common condition in newborns with mostly with recovery. But in few cases where the Serum bilirubin value measurement is not feasible