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4 - The effect of postpartum discarge timing of mother-baby couple on bilirubin levels
Derya Girgin, Ali Bülbül, Sinan Uslu, Umut Zübarioğlu, Mesut Dursun, Evrim Kıray Baş, Selda Arslan
Objective: The purpose of the study is to investigate the effect of discharge time on rehospitalisation of babies with gestational age ≥35 weeks from hyperbilirubinemia.
Material and Method: Between January 2010 to June 2011, all babies included to study who were ≥35 weeks and treated for hyperbilirubinemia in our newborn clinic. Etiology, clinical and laboratory features and given therapies were recorded. Bilirubin levels compared according to postpartum discarge time of mother-baby couple.
Results: Two hundred and twenty two babies who met criteria were assessed. Mostly detected reasons during hyperbilirubinemia etiology investigations were; ABO incompatibility in 66 babies (29,7%), Rh incompatibility in 19 babies (8,6%) and pathologic weight loss in 19 babies (8,5%). There were no etiologic reason found in 90 (40,6%) babies. It was detected that pathologic weight loss had significant effect on total serum bilirubin (TSB) levels (p=0,014). Negative correlation between ABO incompatibility and TSB levels was detected (p<0,001), but babies with ABO incompatibility had significantly shorter duration of hospital admission (p<0,001). Mean discharge time of 184 babies who had known postnatal discharge time was detected as 32,9±20 hours (5-120 hours). There was no significant effect of postnatal discharge time detected on TSB levels. Mean discharge times at our hospital, state hospital and special hospital were found 37,7±22 hours, 34,6±19,8 hours and 25,1±14,7 hours, respectively. The follow up examination time at our hospital, state hospital and special hospital were found 4±2,1 days, 5±3,2 days and 5,3±3,6 days, respectively. Babies born in our hospital had significantly longer postnatal discharge time (p.0,001) and shorter duration for follow up examination (p:0,019) against special hospitals.
Conclusion: In our study, it was detected that postnatal discharge time of mother baby couple had no negative effect on admission bilirubinemia levels. Pathologic weight loss and ABO incompatibility were detected as risk factors for development of hyperbilirubinemia. We found that postnatal discharge time is longer and duration for follow up is shorter in our hospital according to special hospitals.
Keywords: Newborn, postdischarge time, bilirubin levels
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