The prevalence of neonatal jaundice and risk factors in healthy term neonates at National District Hospital in Bloemfontein

African Journal of Primary Health Care & Family Medicine
Hanneke BritsGina Joubert

Abstract

Neonatal jaundice affects one in two infants globally. The jaundice is the result of an accumulation of bilirubin as foetal haemoglobin is metabolised by the immature liver. High serum levels of bilirubin result in lethargy, poor feeding and kernicterus of the infant. The main aim of this article was to determine the prevalence of neonatal jaundice and secondly to explore its risk factors in healthy term neonates. Maternity ward, National District Hospital, Bloemfontein, South Africa. In this cross-sectional study, mothers and infants were conveniently sampled after delivery and before discharge. The mothers were interviewed and their case records were reviewed for risk factors for neonatal jaundice and the clinical appearance and bilirubin levels of the infants were measured with a non-invasive transcutaneous bilirubin meter. A total of 96 mother-infant pairs were included in the study. The prevalence of neonatal jaundice was 55.2%; however, only 10% of black babies who were diagnosed with jaundice appeared clinically jaundiced. Normal vaginal delivery was the only risk factor associated with neonatal jaundice. Black race and maternal smoking were not protective against neonatal jaundice as in some other studies. More than hal...Continue Reading

References

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Jul 5, 2006·Pediatrics·M Jeffrey Maisels, Elizabeth Kring
Sep 13, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Michael SgroVibhuti Shah
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Citations

Dec 31, 2019·International Journal of Health Care Quality Assurance·Deoraj Prajapati, Gaurav Suman
Oct 21, 2020·Journal of Paediatrics and Child Health·Bee-Sim ChuaJeyaseelan Nachiappan
Jan 22, 2021·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Meranthi Fernando, Shaman Rajindrajith
Jul 16, 2021·Early Human Development·Arwen Sanne José Kamphuis, Jolita Bekhof

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