吉马医疗中心新生儿护理部收治的新生儿高胆红素血症及其相关因素

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2023-01-01 DOI:10.1177/11795565231193910
Sintayehu Asaye, Misgana Bekele, Aklilu Getachew, Diriba Fufa, Tesfaye Adugna, Edosa Tadese
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引用次数: 2

摘要

背景:新生儿高胆红素血症是世界范围内新生儿普遍存在的重要临床问题。在全球范围内,每年约有110万婴儿患有这种疾病,其中绝大多数生活在南亚和撒哈拉以南非洲。在埃塞俄比亚,关于新生儿高胆红素血症的程度和相关因素的研究是有限的。因此,本研究旨在评估埃塞俄比亚西南部吉马医疗中心(JMC)新生儿重症监护病房住院新生儿高胆红素血症的患病率及其相关因素。设计:以医院为基础的横断面研究于2020年7月24日至10月19日在JMC进行。方法:随机抽取222例新生儿及其母亲。通过结构化问卷采访母亲,并使用检查表查看新生儿的医疗记录来收集数据。采用多变量二元logistic回归分析确定与新生儿高胆红素血症相关的因素。结果:从纳入研究的新母亲对总数中;新生儿高胆红素血症比例为94(42.3%)。新生儿ABO血型不合33(35.1%)、早产41(43.6%)、败血症35(37.2%)、新生儿窒息20(21.2%)、Rh等免疫10(10.6%)与新生儿高胆红素血症显著相关。结论:研究区新生儿高胆红素血症的发生率较高。由于新生儿高胆红素血症相关因素存在于母体和新生儿,因此产前护理(包括母胎详细检查和随访)以及分娩时的注意事项都需要关注。因此,进一步评估、早期干预和及时治疗对于减轻新生儿高胆红素血症的负担非常重要。
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Hyperbilirubinemia and Associated Factors Among Neonates Admitted to the Neonatal Care Unit in Jimma Medical Center.

Background: Neonatal hyperbilirubinemia is a widespread and significant clinical problem among neonates worldwide. Globally, every year about 1.1 million babies develop it and the vast majority reside in South Asia and sub-Saharan Africa. Studies on the magnitude and factors associated with neonatal hyperbilirubinemia are limited in Ethiopia. So this study was aimed at assessing the prevalence and associated factors of neonatal hyperbilirubinemia among hospitalized neonates in the neonatal intensive care unit of Jimma Medical Center (JMC), Jimma, South West Ethiopia.

Design: Hospital-based cross-sectional study was conducted at JMC from July 24 to October 19, 2020.

Methods: A total of 222 neonates with their mothers were included and conveniently selected. Data was collected by interviewing mothers through structured questionnaires and reviewing neonates' medical records using a checklist. Multivariable binary logistic regression analyses were employed to identify factors associated with neonatal hyperbilirubinemia.

Results: from a total of neo-maternal pairs included in the studies; the proportion of Neonatal hyperbilirubinemia was found to be 94 (42.3%). Neo-maternal ABO incompatibility 33 (35.1%), prematurity 41 (43.6%), sepsis 35 (37.2%), Neonatal birth asphyxia 20 (21.2%), and Rh isoimmunization 10 (10.6%) was significantly associated with neonatal hyperbilirubinemia.

Conclusion: The prevalence of neonatal hyperbilirubinemia in the study setting was high. Antenatal care (including both mother and fetus detail examination and follow-ups) as well as cautions during labor need to focus on since Neonatal hyperbilirubinemia-associated factors were maternal and neonatal. Hence, further assessment, early intervention, and timely treatment are important to mitigate the burdens in neonates due to hyperbilirubinemia.

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