Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

Prevalence of neonatal jaundice in diabetic mothers referred to Kosar hospital in Qazvin in 2018-2019

Document Type : Research Paper

Authors
Mohammad Reza Maleki 1
Hamideh Pakniat 2
Mohsen Shamsdini Moghadam 3
Asqar Ghorbani 4
1 Assistant Professor, Clinical Research Development Unit, Qods Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
2 Assistant Professor, Kausar Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
3 Quds Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
4 Assistant Professor, Baharlu Hospital, Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
10.22038/mjms.2023.72764.4314
Abstract
Introduction: Hyperbilirubinemia is the most common cause of neonatal hospitalization in the first month after birth. Understanding the underlying causes of jaundice helps identify newborn at risk faster. The aim of this study was to determine the prevalence of jaundice in neonates with diabetic mothers on the 3rd to 5th day of after birth.
Materials and Methods: 120 pregnant mothers aged 18 to 40 years who had diabetes during pregnancy (familial or gestational diabetes) and were treated with insulin were included in this descriptive epidemiological study. All demographic information of the mother and infant is recorded in the checklists and after delivery, mothers are advised to visit the clinic on a routine checkup for jaundice (jaundice visible in the sclera) on the third to fifth day after birth. After a thorough neonatal examination, a total bilirubin test will be performed.
Results: Of 120 diabetic mothers, 54 (45%) had no jaundice, 24 (20%) had clinical jaundice, and 42 (35%) needed phototherapy. Statistical analysis showed that there were no significant differences between the three groups without jaundice, clinical jaundice and need for phototherapy in terms of gender, gestational age and Rh factor incompatibility but there was a significant difference between type of feeding, birth weight and incompatibility of ABO system. . Further statistical analysis showed that only birth weight factors and blood group incompatibility were associated with icterus.
Conclusion: Maternal diabetes and neonatal jaundice appear to be associated.
Keywords
Mother diabetes
Neonatal icterus
Physiological jaundice
Subjects
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Medical Journal of Mashhad university of Medical Sciences
Volume 66, Issue 3
September and October 2023
Pages 426-439