Evaluation of Risk Factors for Exchange Range Hyperbilirubinemia in Neonates from Eastern Part of Nepal


 Introduction: Neonatal hyperbilirubinemia continues to be the commonest cause of nursery and NICU admissions readmissions in neonatal period worldwide. Although most cases are physiological, toxic levels un-conjugated bilirubin can lead acute chronic encephalopathy. Hence, this study aimed risk factors for exchange range neonates.
 Methods: This was a hospital-based prospective observational conducted teaching referral over one year from July 2019 August 2020. All neonates with diagnosis requiring double volume transfusion were included study. Risk significant analysed descriptive statistics. P-value < 0.05 considered wherever applicable.
 Results: The mean gestational age birth weight 38.06 ± 2.13wks 2611.72 389.39 gm respectively. Fifteen percent babies (162) developed 28 (17.3%) required transfusion. Among transfusion, 17 females 11 males. who DVET, 20 (71.4%) SGA. ABO incompatibility present 14 (50.0%) Rh 13 (46.4%) neonates. along eight (28.6%) DCT positive six nine incompatibility. G6PD deficiency four (14.3%) Conclusions: important identified small age, followed by oxytocin use sibling treated jaundice.