Prevalence and Factors Related to Term Neonatal Hyperbilirubinemia in Pathum Thani Hospital

Abstract

Objective: This was to study prevalence and associated factors of neonatal jaundice in term newborns in Pathum Thani Hospital.

Material and Methods: A descriptive, retrospective study was done. The data were collected from medical records of term newborns who born in Pathum Thani Hospital between 1 August 2020 to 31 July 2021. The newborns were diagnosed as neonatal jaundice by pediatricians. The samples were specificly selected. The research instrument was a neonatal – record form included gestational age, sex, maternal blood group, pregnancy complication, birth methods, birth trauma, tongue tie, body weight change from birth until the day of phototherapy, maximum serum bilirubin, and child blood group, average age at first onset of phototherapy, and duration of receiving phototherapy. Percentage, mean, standard deviation were presented and associated factors of neonatal jaundice in term newborn were analyzed using chi-squared.

Results: In total 360 term newborns, the prevalence of neonatal jaundice newborns underwent phototherapy was 12.2% (44 cases), tongue tie 7.2% (26 cases), and neonatal sepsis 4.4% (16 cases). The mean hematocrit and mean maximum serum bilirubin were 51% (SD 5.2) and 10.1 mg/dL respectively. The methods of birth by vaginal delivery (p= .013) and neonatal sepsis in 72 hours of birth (p= .034) were associated with neonatal jaundice significantly (p= .05).

Conclusion: The prevalence of neonatal hyperbilirubinemia in Pathum Thani Hospital is 12.2%, related to methods of birth by vaginal delivery and neonatal sepsis in 72 hours of birth. Should be plan of appropriate neonatal care for the purpose of prevention and decrease the prevalence of neonatal jaundice.