Evaluation of attributes to hyperbilirubinaemia in neonates in a tertiary care hospital in the Dhaka city

Abstract

Objective:The study was aimed to evaluate the attributes related to hyperbilirubinaemia among neonates. Materials and methods: A total number of 120 neonates with hyperbilirubinemia included in the study. Data were collected using hospital records and by face-to-face interview of mother of those neonates using a predesigned questionnaire. Data were expressed as mean±SD and number (percent) as appropriate. Both descriptive and inferential statistics were considered in data analysis. Statistical analyses were performed using SPSS Software. Result: Of the total neonates, 57% were baby boys. In age group of 2nd to 7th days were 59.2% of neonates. According to the birth weight, neonates distribution was 38.3% in very low (<2000g), 42.5% low (2001-2500g) and 19.2% normal (>2500g) birth weight group. ABO incompatibility was found in 14.2% and Rh 8.3% cases of hyperbilirubinaemia. Birth trauma was found in 7.5% and congenital anomalies 3.3% neonates. Pre-maturity (gestational age <37 wks) was found in 73.3% cases. Normal vaginal delivery was performed in 59.2% of cases. Exclusive breast feeding was given by 43.33% mothers. Of the mothers 93.4% were housewives. Thirty percent (30%) of mothers were adolescents (<20 years) and 27.5% young adults (20 to 25 years). Of the 120 mothers 56.7% had primary level education. Low birth weight (<2000g to 2500g) neonates had significantly higher (p<0.005) serum bilirubin than the normal birth weight counterpart. Among the neonates of the mothers with GDM, 9.2% had serum bilirubin level above 20mg/dl and the distribution showed significant association (p<0.005). Conclusions: It is concluded that low birth weight and prematurity remained to the major causes of neonatal hyperbilirubinemia in neonates. Other common causes, particularly ABO and Rh incompatibility, are also present which could be avoided by meticulous clinical practice and burden of neonatal morbidity and mortality related to hyperbilirubinemia can be reduced.

Azerbaijan

“…n Vietnam, a series of donor groupings has emerged over the years, including the Like-Minded Donors Group and the Six Banks Harmonisation Initiative 19 (Cox et al, 2011). In Bangladesh, progress on harmonisation has been achieved due to the reorganisation of the local consultative group and the adoption of the Joint Co-operation Strategy (June 2010) by 15 bilateral and multilateral donors and the Government of Bangladesh (Choudhury et al, 2010). In Kenya too the government and donors have formalised the Kenya Assistance Strategy and the Joint Statement of Intent to adhere to the Paris Declaration and the Accra Agenda for Action.…”

“…Ecuador, for example, points to the lack of implementation of the Paris Declaration on aid effectiveness and the lack of co-ordination within providers of South-South co-operation. In Bangladesh, the main reasons for the Paris Declaration process not making much impact are the lack of awareness of the Paris principles among officials and the failure of both the government and donors to translate the principles into actual behavioural changes and operational practices (Choudhury et al, 2010). However, while many of the issues highlighted in this chapter would be addressed through better implementation of the Paris principles, there is a question about how many of these points should be discussed by the aid-for-trade communities specifically or whether aid for trade should attempt to bring these concerns to broader fora addressing aid effectiveness, including the Fourth High Level Meeting on Aid Effectiveness to be held in Busan, South Korea, in November 2011.…”