Umbilical Cord Blood Hemoglobin as a Predictor of Significant Neonatal Hyperbilirubinemia in Term Newborns in a Tertiary Care Centre in North Kerala

Aims: Neonatal hyperbilirubinemia is one of the most common problems during first week life and cause readmission in early neonatal period. The present study aimed to predict development significant term neonates using cord blood hemoglobin.
 Study Design: Prospective study.
 Place Duration Study: Department Paediatrics, MMCH & RC, Kozhikode, Kerala from March 2021 July 2022.
 Methodology: prospective enrolled 162 appropriate for gestational age newborns, delivered at RC. Cord hemoglobin was measured bilirubin estimation done 48-72 hours life. Hyperbilirubinemia considered if serum value above standard as per American Academy Pediatrics guidelines. Data entered Microsoft Excel analysed SPSS 20.0 version. relationship between predicting studied statistical tests. Sensitivity specificity variables were defined ROC curve Pearson correlation coefficient determine variables.
 Results: Out total enrolled, 86 boys (53.1%) 76 girls (46.9%). mean 15.3g/dl. 20 (12.3%) had developed required phototherapy while none them needed exchange transfusion. Correlation with showed weak (r=0.194) but statistically (p<0.05). On analysis, cut off ≥14.9g/dl 75% sensitivity 39.4% hyperbilirubinemia.
 Conclusion: There umbilical level hyperbilirubinemia. can future This will be useful very low resource centres plan discharge newborns without fear