Prospective study to determine weight loss as predictor for neonatal hyperbilirubinemia in term neonates

Abstract

Background: Neonatal hyperbilirubinemia is a common clinical problem encountered during the neonatal period, especially in the first week of life. Significant hyperbilirubinemia is associated with a greater weight loss after 72 hours of life. Poor caloric intake seems to have a greater effect on the regulation of serum bilirubin. Aim of the study: To determine if weight loss can be a predictor for neonatal hyperbilirubenemia in term neonates. Material and Methods: This was a prospective study done in department of Paediatrics, MediCiti Institute of Medical Sciences, Medchal, Telangana for a duration of one year from March 2019 to February 2020. Results: 63.6% (35/55) showed weight loss more than 7% and 36.6% showed weight loss less than 7%. Inadequate breast feeding was seen in 81.8% (45/55) cases and 18.1% showed adequate breast feeding. Conclusion: In our study birth weight loss after 72 hours of birth can be a predictor factor for neonatal hyperbilirubinemia, and may also serve as a helpful clinical factor to prevent significant hyperbilirubinemia 72 hours after birth. Keywords: Neonatal hyperbilirubinemia, Birth weight loss, Serum bilirubin.