Incidence and Risk Factors of Hyperbilirubinemia in Neonatal in Mosul City

Abstract

Background: Hyperbilirubinemia is one of the most common problems encountered by neonatal infants

Objectives: 1-To identify an incidence of hyperbilirubinemia in neonatal in Mosul city. 2-To determine the risk factors which may associated with hyperbilirubinemia.

Methodology: A descriptive study was conducted on 440 neonates attending the Al-Khansaa Teaching Hospital and Ibin-Sena Teaching Hospital in neonatal intensive care units. The study aimed to identify the prevalence of hyperbilirubinemia among neonates and to determine the associated risk factors for hyperbilirubinemia in Mosul city, through out 28^th December 2009 to the end of 28^th April 2010.

Results: The study revealed that the (35%) of neonates with hyperbilirubinemia, male neonates were (66% ), while (34%) were female, the mean birth weight was (2.674) kg., the mean peak bilirubin level was ( 13.67) mg/dL,

Conclusion: Hyperbilirubinemia is one of the most common problems encountered by the neonatal infants in Mosul city, the male gender showed more effected than female for the development of hyperbilirubinemia, neonates of mothers with low educational level are more effected by hyperbilirubinemia than good education, positive family history of jaundice in sibling had higher significant risk for hyperbilirubinemia than those with negative history, poor feeding had significant risk for hyperbilirubinemia than jaundiced neonates with good feeding, maternal age > 25 years had a significant relationship between mother age and neonates with hyperbilirubinemia.

Recommendation: Screening for hyperbilirubinemia in 1^st three days of life by nurses , provide parents with information about treatment and complication, education and training the nursing staff about hyperbilirubinemia and encouraging the women and men to have pre-marital test for Rh factor.