Abstract Issue

Volume 13 Issue 11 (November) 2024

Original Articles

Predictive value of serum bilirubin for detection of subsequent hyperbilirubinemia in term neonates
Dr. Vinod Kumar Garg, Dr. Sanket Tyagi, Dr. Sonu Singh

Background: A TSB >5 mg/dL is known as neonatal hyperbilirubinemia, and it is a common clinical disease in infants. The present study was conducted to evaluate the predictive value of serum bilirubin within 6 hours of life for subsequent hyperbilirubinaemia in healthy term neonates. Materials & Methods: 80 term neonates of both genders were selected. Total serum bilirubin, direct and indirect bilirubin was estimated first, within 6 hours of life and second, after 72 hours of life by Modified Van den Bergh’s kit method. Results: Out of 80 patients, 48 were males and 32 were females. Parity 1 was present in 42, and >2 in 38. Mode of delivery was vaginal seen in 59 and caesarean in 21. Blood group A was present in 4, B in 14, AB in 28 and O in 34. The difference was significant (P< 0.05). The mean TSB level between 2.6- 4.0 mg/dl was seen in 25, 4.1- 5.5 mg/dl in 43 and >5.6 mg/dl in 12 patients. The difference was significant (P< 0.05).TSB level (mg/dl) between 7.7-10.2 was seen in 4, 10.3-12.7 in 21, 12.8-15.3 in 40 and >15.4 in 15 patients. The difference was significant (P< 0.05). Hyperbilirubinemia was seen in 2 with bilirubin level between 2.6-4, in 5 with bilirubin level between 4.1-5.5 and in 8 with bilirubin level >5.6. The difference was significant (P< 0.05). Conclusion: If the total blood bilirubin level is greater than 5 mg/dL within 6 hours of delivery, it may be a predictor of the likelihood of developing hyperbilirubinemia later on.

 
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