Correlation between Gestational and Maternal Age with Pathological Neonatal Jaundice

Abstract

Pathologic jaundice is one of the causes of neonatal death, among the risk factor is pre-term pregnancy that causes prematurity. It affects the growth of the fetus due to the immaturity of the reproductive organs. The main objective of this study is to analyze the correlation between gestational and maternal age with pathologic neonatal jaundice. The research used quantitative analytical method with cross sectional approach. The sample consisted of 297 babies chosen using systematic random sampling technique. The analysis used Kolmogorov-Smirnov test, Fisher Exact Test. The result of study found that 5.1% of neonatal had post-term gestation, 21.55% of mothers delivered at risk of ages, 6.06% suffered pathologic neonatal jaundice. Some of neonatal (24.44%) born during preterm gestation suffered pathologic jaundice. The correlation between gestational age and pathological jaundice got p value = 0.035, the correlation between maternal age with pathological jaundice got p value = 1.000. Gestational age associated with pathological jaundice and maternal age is not associated with pathological jaundice. It is important for health workers to assess gestational age on antenatal and intranatal care to anticipate pathological jaundice and mothers need to always take their baby to health services if the baby appears to have yellow skin.

Risk Factors and Outcome of Neonatal Hyperbilirubinemia: A Case Control Study in a Tertiary Level Paediatric Hospital

“…Whereas maternal age either <20 or >35 years were at risk of developing pathological jaundice in newborns. 16 In our study, we found jaundice both in 21-30 years and 31-40 years group.…”

The Effectiveness Of Baby Hydrotherapy On The Quality Of Jaundice Baby’s Sleep Patterns; Literature Review

“…This yellow color appears because the baby's liver needs adaptation so that bilirubin in the blood can be removed within a few weeks after birth. If there is failure or delay, serum or plasma bilirubin in the blood will cause yellow staining of the sclera throughout the baby's body (Fetriyah et al, 2019).…”

“…According to research (Fetriyah et al, 2019) newborns produce high bilirubin due to an increase in the number of hematocrit and volume of red blood cells per body weight, red blood cells of newborns and shorter life spans (70 to 90 days) usually 120 day. Although bilirubin production is increased in newborns, the process of conjugation and clearance of bilirubin can be slow.…”

“…Most of the jaundice neonatorum can be temporary and not permanent which can disappear by the end of the first week after birth, while a small number have severe hyperbilirubinemia which has the potential to pose a high risk of acute neonatal bilirubin encephalopathy and kernicterus. One of the factors causing pathological jaundice in neonates is a history of preterm gestational age (Fetriyah et al, 2019).…”