The Factors Affecting on Newborn Jaundice.

Abstract

Purpose : Hyperbilirubinemia is a simple problem for newborn babies, but a very widespread one. Jaundice is seen in the first week of life in 60% of mature babies and in 80% of premature babies. In this study, it is aimed to research hyperbilirubinemia etiology and risk factors. Materials and Methods : The medical records of 709 newborns monitored with a diagnosis of hyperbilirubinemia in the Yuzuncu Yil University Medical Faculty Research Hospital Child Health and Diseases Clinic, Turkey, were examined retrospectively Findings : ABO incompatibility was determined in 165 (23.3%) of the newborn, Rh incompatibility was determined in 80 (11.3%) of the newborn and ABO+Rh incompatibility was determined in 13 (0.018%) of the newborn. Direct hyperbilirubinemia was determined in 28 (3.9%) of the newborn. Clinical symptoms and findings regarding kernicterus were found in 66 (9.3%) of the newborn. Blood exchange was made in 121 (17.1%) of them. Conclusions : In neonate important etiologic factors for hyperbilirubinemia are respiratory distress syndrome, transient tachypnea of newborn, low birth weight and urinary system infections. In mother important etiologic factors for hyperbilirubinemia are prevalence of early membrane rupture, hypertension and diabetes mellitus.