Abstract
Background: Significant neonatal hyperbilirubinemia is a common cause of readmission following initial sending home from hospitals in healthy mature neonates. Objective: To determine the predictive ability of first 24th hr entire serum bilirubin (TSB) levels for later development of important hyperbilirubinemia in well mature neonates at Mukalla Maternity and Child Hospital (MMCH) in Mukalla city, Hadhramaut Governorate, Yemen. Patients and Methods: A cross sectional study of 150 well mature newborns was tracked with everyday serum total bilirubin detections for five days of life at Mukalla Maternity & Child Hospital between March 2019 and February 2020. Results: It was observed that 10%, 10%, 13.3% and 66.7%% of newborns were corresponding to high, high intermediate, low intermediate, and low risk zones respectively, while7.3% of newborns had developed significant hyperbilirubinemia and needed phototherapy. The day one bilirubin value of 5mg/dl had a sensitivity of 100% and specificity of 72%, the positive predictive value of 22%, and a negative predictive value of 100% in forecasting the risk of developing significant jaundice. Conclusion: A total serum bilirubin measurement may be applied as a useful screening test for each neonate at the first week of life, to foresee those at risk for later development of significant neonatal hyperbilirubinemia and permit for a harmless discharge from the hospital.
Highlights
Hyperbilirubinemia is common and usually a benign problem in newborns
Table (3) illustrates 11 newborns (7.3%) from a total of 150 neonates enrolled in the study and followed for 5 days, had developed substantial hyperbilirubinemia with serum total bilirubin levels of ≥17 mg/dL compared to 139 (92.7%) who did not develop important hyperbilirubinemia with TSB of
A day-one bilirubin level of ≥5mg/dl had a sensitivity of 100% and specificity of 72%,the positive predictive value of 22% and a negative predictive value of 100% in expecting the risk of developing significant neonatal jaundice
Summary
Jaundice is detected during week one of life in nearly 60% of mature babies and 80% of immature babies [1]. Objective: To determine the predictive ability of first 24th hr entire serum bilirubin (TSB) levels for later development of important hyperbilirubinemia in well mature neonates at Mukalla Maternity and Child Hospital (MMCH) in Mukalla city, Hadhramaut Governorate, Yemen. Patients and Methods: A cross sectional study of 150 well mature newborns was tracked with everyday serum total bilirubin detections for five days of life at Mukalla Maternity & Child Hospital between March 2019 and February 2020. Conclusion: A total serum bilirubin measurement may be applied as a useful screening test for each neonate at the first week of life, to foresee those at risk for later development of
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