Prevalence and Contributing Factors of Neonatal Jaundice in Neonatal Intensive Care Unit at St Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2019

Abstract

Purpose : The aim of the study is to assess   prevalence and contributing factors of neonatal jaundice among neonates admitted to neonatal intensive care unit at St. Paul Hospital Millennium Medical College, from January 1 to December 31, 2018. Addis Ababa, Ethiopia, 2019.  Methods : A cross-sectional   institution   based   retrospective study was conducted on 338 samples selected using systematic random sampling taken from a one-year retrospective review of medical records. These neonates were admitted to neonatal intensive care unit at St. Paul Hospital Millennium Medical College from January 1 to December 31, 2018. Addis Ababa Ethiopia. Data was collected by a structured checklist format then entered and analyzed using SPSS 23. Bivariate and multivariate logistic regressions were conducted to identify contributing factors of neonatal jaundice considering p-value less than 0.05. Results : Among 338 total neonates enrolled under this study the prevalence of neonatal jaundice was found to be [p=45 (13.3%), CI=1.83-1.90].  The factors which show statistically significant relationship between hyperbilirubinemia were inadequate breast feeding with AOR = 30.770 (CI=9.974-94.929), followed by presence of cephalhematoma AOR=9.627(CI=2.651-34.958) and neonatal infection or sepsis having AOR =4.690 (CI=1.529-14.390), maternal age AOR=.092 (CI=.016-.528), and breast milk jaundice AOR=.026 (CI=.003-.206) both do not reach statistical significance. Conclusion : By identifying the contributing factors earlier, we may be able to modify them and reduce the need for neonatal intensive care unit admissions for Neonatal Hyperbilirubinemia.

Keywords: hyperbilirubinemia, neonates, infection, prematurity

DOI: 10.7176/JHMN/74-03

Publication date:May 31^st 2020