الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 28 |  |  |
| | | from | 28 | | |
Abstract
Neonatal jaundice is one of the most common causes of neonatal morbidity. About 60% of fullterm babies develop jaundice by the age of 48 to 72 hrs and 5 to 10% of them needs intervention for management. Most cases of jaundice are physiological due to the relative increase in neonatal RBCs mass together with the immaturity of their liver enzymes. Minority of cases of jaundice are pathological.
The importance of neonatal jaundice is derived from being a risk factor of bilirubin encephalopathy and so a preventable cause of mental retardation. A systems-based approach to the management of jaundice in newborns could largely prevent this permanent and devastating condition in otherwise healthy infants.
The aim of this work was to study the pattern of neonatal jaundice in neonatal unit of Sohag University Hospital.
This study was an observational prospective cross sectional study done in Sohag university hospital in the period from 1/12/2011 to 30/5/2012. It included 50 jaundiced babies representing about one third of total admission. ABO incompatibility was the most common cause for jaundice. The most alarming results were the high percent of cases with bilirubin encephalopathy (10%) and the significant number of cases that need exchange transfusion for treatment.
Based on the results of this study :
1- Neonatal jaundice is still representing a big problem responsible for significant neonatal morbidity in our society despite great advances in neonatal medicine.
2- New treatment protocol with lower threshold for exchange transfusion should be considered.
3-Predischarge neonatal screening using TCB measurement could also be done especially for those with risk factors .
3- Breast feeding is not a risk factor for NJ. However, good practice of breast feeding (eg. Start feeding at delivery room, rooming in, feeding on demand) is recommend with follow up for the weight of the baby.