ภาวะตัวเหลืองของทารกแรกเกิดในโรงพยาบาลสามพราน จังหวัดนครปฐม

บทคัดย่อ

Neonatal hyperbilirubinemia is common disease in newborn. The objective was to determine incidence,
cause and duration of phototherapy of neonatal hyperbilirubinemia in Sampran hospital. A retrospective
study in term newborns with hyperbilirubinemia, birth weight ≥ 2,500 gm who were born at Sampran hospital,
during 1^st October 2008 to 30^th September 2009. There were 91 neonatal jaundice patients among 1,280
births (7.11%) . The most patients were female and no patient had fetal distress. The majority of maternal blood
group was O whereas most of patients had blood group B. Average birth weight was 3,071.36 ± 430.28
grams. Average microbilirubin was 14.65 ± 1.88 mg/dl and average hematocrit was 52.82 ± 7.14 % at first
treatment. Onset of jaundice appears in 55.51 ± 20.14 hrs and average duration of phototherapy treatment
was 60.79 ± 42.94 hrs. Causes of hyperbilirubinemia were unspecific etiology, ABO incompatibility and
G6PD deficiency in 76.92, 16.5 and 4.4 percent of patients respectively. When causes of hyperbilirubinemia
were compared, the microbilirubin level were significantly higher and onset of jaundice were significantly
faster in the unspecific group but duration of phototherapy were not significantly different between the
two groups.