FREQUANCY OF ABO AND RHESUS INCOMPATIBILITY IN NEONATAL JAUNDICE

Jawad Muhsen, Hithab

	FREQUANCY OF ABO AND RHESUS INCOMPATIBILITY IN NEONATAL JAUNDICE
journal of kerbala university
Article 1, Volume 13, Issue 4, 2017, Pages 255-260 PDF (0 K)
Author
Hithab jawad muhsen
Abstract
Background: jaundice is the commonest medical condition affecting infants in first week of life. the cause is bilirubin deposition in the skin. jaundice in newborn is a result of increased RBC destruction and decreased bilirubin elimination. Aim of study: The aim of this study is prescribe the frequency and severity of Rh and ABO incompatibility in neonates admitted to Pediatrics & Neonatology unit, al-Zahraa teaching Hospital, Najaf, Iraq. Patients and methods: This descriptive study done in neonatal intensive care unit, in al- Zahraa teaching hospital ,Najaf ,Iraq. 300 neonate admitted to neonatal unit from period of first of May 2014 to august 2014 with jaundice were included in the study. Results: from 300 neonate with jaundice , 144( 48%) were female and 156( 52% ) male , the frequency of ABO , combined ABO and RH and RH incompatibility in neonates with jaundice was 99(33%), 36(12%), 51 ( 17%) respectively . 15(22.7%) of neonate with ABO and 21( 31.8%) with RH incompatibility treated with exchange transfusion. While 4 (1.3 %) and 10 (3.3 %) of patient with ABO and RH incompatibility respectively developed sign of kernicterus on discharge. Conclusion: out of 300 neonate presented with jaundice , most common hemolytic cause was ABO-incompatibility 99( 33%), followed by Rh –incompatibility 51(17%), Rh –incompatibility is more severe than ABO , 21(31.8%) of patients with RH incompatibility treated with exchange transfusion and 10(3.3%) of them discharge with sign of kernicterus

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