Abstract

DIAGNOSTIC APPROCH ON NEONATAL JAUNDICE

Aman K. Bondre*, Samiksha R. Onkar, Prof. Vishnudas K. Lokhande, Dr. Rahul S. Bijwar and Dr. Laxmikant N. Barde

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Abstract

Jaundice is most common physical abNormality in the first week of life. A significant proportion of term and prefer infants develop neonatal. Neonatal Jaundice is Prevalent condition by yellow discoloration of the skin sclera and mucous membrane due to elevated total serum bilirubin level. 60 of term and 80%. of preterm infants develop jaundice in a first week of life. Newborn jaundice occurs when baby has high level of bilirubin in- blood . The liver help break down the substance So it can removed from the body in the stool. Production of bilirubin as resul of degradation of haeme arising from Normal red blood cell. Phototherapy is simple and effective way to reduce the bilirubin level. few babes rapidly rising bilirubin level which risk to at Kernicterus High serum bilirubin or rapidly rising bilirubin level to treated urgently to avoid neurotoxicity. Implementation of neonatal jaundice care bas been adversely affected by with professional boundaries. Neonatal jaundice is common and usually benign early detection, are Prevent severe complication. Through physical examination, bilirubin level measurement, and risk assessment is critical. Treatment strategies include enhanced nutrition, phototherapy, exchange transfusion and intraveNous immuNoglobulin (IVIg), depending on the severity and underlying cause. Phototherapy remains the mainstay for treating hyperbilirubinemia, while exchange transfusion and IVIg are reserved for severe cases, particularly those involving immune-mediated haemolysis. Background: Neonatal jaundice is most common cause for intervention in newborn period transitory hyperbilirubinemia is present in almost all newborn. High serum level of bilirubin result in lethargy poor feeding and Kernicterus of infant.

Keywords: Neonatal, Bilirubin, kernicterus, Bilirubin encephalopathy, phototherapy, paediatrics, haematocrit.