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Breast non feeding: Main cause of neonatal hyperbilirubinemia in areas adjoining Shri Ram Murti smarak institute of medical Sciences, a tertiary care teaching hospital, Bareilly

Shaheena Kamal, Kauser Sayedda, Quazi Shahir Ahmed.


Aims & Objective: The purpose of this study was to determine the occurrence, etiological & other associated factors of neonatal hyperbilirubinemia in Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly. 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 July – December 2011. 124 newborns with jaundice were enrolled in the study. Data regarding demographic profile of new born, physical examination and laboratory investigations gathered and analysed to interpretate the common etiologies giving rise to neonatal hyperbilirubinemia.

Results: Out of 124 cases of neonatal hyperbilirubinemia, 24 cases were of physiological jaundice, breast non feeding jaundice, breast milk jaundice, jaundice due to prematurity and pathological jaundice comprised the rest 100 as 84, 5, 5 & 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 nonfeeding 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.

Key words: Neonatal Hyperbilirubinemia; Breast Non Feeding; Physiological

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