ABSTRACT
Background: Iron stores of neonates born to anaemic mothers are low, iron content in breast milk in anaemic women is low and because of these factors substantial proportion of infants become anaemic by six months. Thus maternal iron deficiency and anaemia makes the offspring vulnerable for developing iron deficiency anaemia right from infancy. The current study was made attempt to evaluate and establish the relationship between maternal haemoglobin and early neonatal outcome in term babies.Method: The present cross-sectional observational study conducted in term neonates and their mothers in first stage of labour in the Department of Paediatric and Department of Obstetrics & Gynaecology, GSL Medical College and general hospital, Rajamahendravaram, from 2015 to 2017. Relevant history of mother was recorded and blood sample from the mother was collected in first stage of labour for haemoglobin estimation.Result: The mean haemoglobin in anaemic mothers was found to be 9.48'0.413 gm/dl and that in non-anaemic mothers was 11.67'0.515gm/dl. Anaemia among mothers has significant effect on birth weight of the newborn babies, on crown heel length of the newborn babies (P<0.05) and on head circumference of Newborn babies (P< 0.05). It was found that anaemia among mothers has no significant effect on APGAR score at 5 mins and on hospital stay.Conclusion: Anaemic mothers had newborn with low mean birth weight, low mean head circumference and low crown heel length compared to the those of non anaemic mothers.
ABSTRACT
Background: Infants who are clinically jaundiced in the first few days are more likely to develop hyperbilirubinemia. The present study was made attempt to evaluate the predictive value of serum bilirubin level on day one postnatal age for identifying term neonates at risk for subsequent hyperbilirubinemia.Method: The present hospital based prospective study involving neonate's ?37 weeks of gestational age included 200 healthy term newborn babies (?37weeks GA) born at GSL medical college and hospital at Rajahmundry during study period. The purpose of this study was explained to the parents/ guardian and written consent was taken prior to the study. Data collected was kept securely. Permission was obtained from the Ethical Committee of GSL medical College before starting the study.Result: Newborns who developed significant hyperbilirubinemia male: female ratio was 1.07:1. 9(33%) newborns with significant hyperbilirubinemia had jaundice in previous siblings. In the present study, the value of 4.9 mg/dl was determined to have the best combination of sensitivity and specificity to predict neonates at risk of hyper birubinemia subsequently. At this value of 4.9 mg/dl there is high sensitivity and a very high negative predictive value, although a low positive predictive value for predicting neonates likely to develop significant hyperbilirubinemia.Conclusion: Early screening and appropriate management of hyperbilirubinemia is needed for prevention of complications in the newborn. This decreases the significant burden of untreated severe neonatal jaundice, causing potential neurological sequelae. Prediction of neonatal hyperbilirubinemia has widespread implication especially in our country where there are limited resources.