Causes And Management Of Neonatal Jaundice In Almosawi Pediatric Hospital In Nasiryiah City A: Retrospective Study


  • Mishaal Zoori Jabbar
  • Abdulreda Abed Hatam
  • Hussein Ali Hamad


jaundice, neonatal, Causes


  • Background
Neonatal jaundice is the most common reason for admission in the neonatal period. The yellow coloration of the skin and sclera in newborn with jaundice is the result of accumulation of unconjugated bilirubin. Neonatal physiological jaundice results from simultaneous occurrence of two phenomena, bilirubin production is elevated and hepatic excretory capacity is low (1).The aim of this study is to determine the etiology,severity,risk factors  and management of neonatal jaundice.
  • Methods
 A retrospective study was conducted on 100 case_sheets (random sample) to neonates who had jaundice in Almosawi paediatric hospital in Nasiryiah city.The obtained data were analysed and the results were tabulated.
  • Results
100 case_sheets of neonates who have jaundice were studied.ABO blood group incompatibility were the most common cause of jaundice.Phototherapy is the mainstay of hyperbilirubinemia treatment in neonates.It has resulted in a marked reduction in the need to perform exchange transfusion.
  • Conclusion
 Blood group incompatibility,and unknown causes,are the most common cause of    neonatal jaundice .The less common cause is G6pd deficiency.Most of neonates who have jaundice were breast feeding,lowbirth weight and preterm are risk facters.


-Devesh Tewari,AndeJournal of neonatal biology .

-Namasivagon Ambalavnan and walderar cario.Nelson Textbook of pediatric,2011,United States of America.6-3.

-Oxford handbook of paediatrics .2016.130.United states of America.

-Davidson"s principles and practice of medicine,930,

-Raye-Ann,Dergnier.MD.The journal of paediatrics April 2017,volume 183,page 2-3.

-Matteo Dal Ben,Silivia Gazzin and Claudia Tiribelli.Italian journal of paediatrics 2014 volume 40 supplement 2,A10

-Devesh Tewari,Andremocan,Emil D Parvanov,Archano N Ssab,Seyed M Nabavi,Lukasz Huminiecki,Zheny Feeima,Yeong Yeh Lee,Jaroslow O.Horba and Atanas G Aanasov.Front Pharmacol Journal volume 8.2017.518.

-Zupan.J.perinatal mortality in developing countries.New

-Maisles MJ.Giffor K.neonatal jaundice in full term infants 1983.137.

-Carolyn G.Scrafford,Luke C.Mullany,Joanne Katz,Sabarna K.Khatry,Steven C,Leclerq,Gary L.Darmstadi and James M.Tielseh.Trop Med Int Health.2013 nov,18(11).1317-1328.-

-Davutoglu M.Garipardic M.Guler E.Karabibe H.Erhan D.The etiology of sever neonatal hyperbilirubinemia and complication of exchange transfusion.Turk ! Pedatr 2010.52.

-Dr.Sabhabrata Mitra,Dr.Janet Rrennie.British journal of hospital medicine,volume78, 699-704.

-Brenda H. Morris,M.D.,Wiliam Oh,M.D.,Jon E. Tyson,M.D.,M.P.H.,David K. Strenson,M.D.,Dale L. M.D.,T.Michael O Shea,M.D.,M.P.H.,Georgia E.McDavid,R.N.,Rebecca L.Perritt,M.S.,Kriss P.Van Meurs,M.D.,Betty R.Vohr,M.D.,Cathy Grisby,B.S.N.,Qing YAD,Ph.D.,Etal.,for the NICHD. The New England journal of medicine.October 30,2008 ,359,1885-1869.

-Well,Lourtenage MS,FNP(BC),RN,Ahmed,Azza DNSC,CPNP,RN,IBCLC,Masser,Anne MS,PNP(BC),RN.The American journal of maternal/child nursing.november/December 2013,volume38, 377-382.

-Najih Ks,Saki F,Hemmat F,Imloo S,incidence,risk factor and cause of sever hyperbilirubinemia in the south of Iran,Fars province,Iran red crescent med! 2013 15.

-Mesic I,Milas V,Medimurec M,Rimar Z.unconjucated pathological jaundice in newborns .Call Antrpol 2014.38,

-Prince Adoba,Rivhard K.D.Ephraim,Kate Adoma kowcah Kontor,Joseph-Josiah,Bentail,Patrick Adu,Moxwell Anderson,Samuel Asamoah Sakyi,and Paul Neiah.International journal of paeditric volume 2018.

-Hnneke Birts,Jeanic Adendorff,Dyanti Huismen,Dohne Benkes,Kristian Botha,Harve Herbst,and Gina Jourbet.African journal of primery health care and family medicine.2018,10(1),1582.

-Hassan Boskabadi,MD,Gholemali Maamouri,MD,and Shahin Mafinjad,MD.Iranian Journal of pediatric 2011 sep.21(3) 325-330

-D.E.Omekwe,M.Duke Georg B.T.Kennis etal.Survey and mangment outcome of neonatal jaundice from developing tertiary health center,southern Nigeria.

-V.K Bhutani,R.J.Wong.Bilirubin neurotoxicity inpreterm infants:risk and prevention .Journal of clinical neorulogy vol.2no.2 pp 61