Epidemiology of Neonatal Hyperbilirubinemia in Niamey: about 146 Cases Collected at Issaka Gazobi Maternity Hospital

 
 
International Journal of Biotech Trends and Technology (IJBTT)
 
© 2018 by IJBTT Journal
Volume - 8 Issue - 2                          
Year of Publication : 2018
Authors : Mounkaila B, Oumarou Z, Farya Toukoua O, Hassane M
  10.14445/22490183/IJBTT-V8I2P603

Mounkaila B, Oumarou Z, Farya Toukoua O, Hassane M "Epidemiology of Neonatal Hyperbilirubinemia in Niamey: about 146 Cases Collected at Issaka Gazobi Maternity Hospital", International Journal of Biotech Trends and Technology (IJBTT), V8(2): 13-17 April - June 2018, Published by Seventh Sense Research Group.

Abstract

Neonatal hyperbilirubinemia is a major morbidity and mortality factor, especially in a context of early exit of newborns. This study is aimed at determining the frequency of this pathology and characterizing its epidemiological aspects in the Neonatology Department at Issaka Gazobi Maternity Hospital in Niamey. This is a descriptive and cross-sectional monocentric study, expanding over 5 months in the Neonatology Department. It involved newborns with local or generalized jaundice and hospitalized in the Neonatal Department. The frequency of neonatal jaundice was 19.5%, with a gender ratio of 1.92. On average, mothers were aged 26.4 ± 4.2 years and almost half (46.4%) of them were under 25 years old. 64.3% were term births against 35.7% of preterm births. This was due to prophylactic caesarean section (32.3%), premature membrane rupture (17.7%), fetal suffering and severe pre-eclampsia 11.8% respectively. Etiologies of these jaundices were dominated by infections (39%), neonatal malaria (17.1%) and fetal-maternal incompatibility in the ABO/Rh system (15.7%). Development was good in 69.65% of cases against 10.7% of deaths. Infections, neonatal malaria and maternal-fetal incompatibility are the main etiologies of neonatal hyperbilirubinemia in Niamey. Mortality rate related to this pathology is very high.

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Keywords
Hyperbilirubinemia, Neonates, Jaundice, Niamey.