Clinico-demographic profile of NEI Ares admitted with hyperbilirubinemia in GB pant hospital Kashmir

Aims and Objective: The purpose of this study was to determine the occurrence, etiological and other associated  factors of neonatal hyperbilirubinemia in GB Pant hospital, Kashmir. Jaundice is a common problem in neonatology. Early recognition of the cause of  jaundice is very important as delay in management may lead to serious complications or even death.
Materials and methods: In present study, newborns with jaundice were evaluated during a six months period between Nov 2014 – April 2015. 124 newborns with jaundice were enrolled in the study. Data regarding demographic profile of new born, physical examination and laboratory investigations were gathered and analyzed to interpret the common etiologies giving rise to neonatal hyperbilirubinemia.
Results: Out of 124 cases of neonatal hyperbilirubinemia, 24 cases were of physiological jaundice, breast feeding jaundice, breast milk jaundice, jaundice due to prematurity and pathological jaundice comprised the rest 100 as 84, 5, 5 and 6 cases respectively. Patholgical causes for jaundice included neonatal sepsis (2cases), neonatal hypothyroidism (2cases), congenital biliary atresia (1case) and ABO incompatibility (1case).
Conclusion: Present study concludes that breast feeding or inadequate feeding jaundice forms the bulk of cases of neonatal hyperbilirubinemia in this region, followed by breast milk jaundice, prematurity jaundice and pathological causes.