Relationship between Delivery Type and Jaundice Severity among Newborns Referred to Hospital
Archives of Medical Laboratory Sciences,
Vol. 5 No. 4 (2019),
23 September 2019
,
Page 8-13
https://doi.org/10.22037/amls.v5i4.32145
Abstract
Background and Aim: Neonatal jaundice affects one of two newborns around the World and occurs when a baby has a high level of bilirubin in the blood. In recent decades, the cesarean section has increased, accompanied by higher neonatal jaundice risks compared with vaginal delivery. This study aimed to investigate the relationship between the jaundice severity and the delivery type and gender among newborns referred to a Qamar Bani Hashem Hospital in Khoy city (West Azerbaijan Province, Iran). Methods: In this cross-sectional study, we investigated randomly 309 newborns with asymptomatic jaundice, who referred to the hospital, from 2014 to 2018. The results of laboratory tests were recorded for all participating infants. Results: 49.19% of newborns with jaundice were born by cesarean section, and 49.19% were born by vaginal delivery. 141 (45.63%) of babies with jaundice were males, and 168 (54.37%) were females. Mean blood sugar (BS) (p=0.52), urea (p=0.48), creatinine(Cr) (p=0.69), Na (p=0.46), K (p=0.69), Ca (p=0.29), TB (p=0.58) and neonatal weight (p=0.14) within days 3 to 10 were not significantly different between vaginal delivery group and cesarean section group (p>0.05), while direct bilirubin showed significant variations (p<0.05). Mean serum direct bilirubin was 0.22±0.07 mg/dL in the normal vaginal delivery group and 0.25±0.09 mg/dL in the cesarean section group (p<0.05). Also, the level of K (P=0.04) was significantly higher in the male group compared to the female group. Conclusion: Based on our study, there is no significant relationship between the severity of jaundice and the type of delivery and gender in newborns.
*Corresponding Author: Haleh Barmaki; Email: Halebarmaki@gmail.com
Please cite this article as: Panji M, Behmard V, Varghaiyan Y, Sheikhalishahi ZS, Peyvasteh S, Seyedhashemi E, Zakeri M, Pooyanfar F, Barmaki H. Relationship between Delivery Type and Jaundice Severity among Newborns referred to Hospital. Arch Med Lab Sci. 2019;5(4):8-13. https://doi.org/10.22037/amls.v5i4.32145
- Jaundice
- Newborn
- Normal Vaginal Delivery
- Cesarean
- Khoy, West Azerbaijan Province, Iran
How to Cite
References
Farhat AS, Hafizi L, Halimi F, Mohamadzadeh A, Saeidi R. Comparison of bilirubin level in term infants born by vaginal delivery and C/S. Iranian Journal of Neonatology IJN. 2016;7(4):45-9.
Saadat SH, Naderi S, Zare S, Khalili S, Darban B, Goodarzi R. Epidemiologic study of jaundice in newborns with jaundice in the first 24 hours of birth in children's hospital and Shariati hospital of Bandar Abbas in 2010-2014. Journal of Research in Medical and Dental Science. 2018;6(1):113-7.
Watchko JF. Neonatal indirect hyperbilirubinemia and kernicterus. Avery's Diseases of the Newborn: Elsevier; 2018. p. 1198-218. e5.
Mitra S, Rennie J. Neonatal jaundice: aetiology, diagnosis and treatment. British Journal of Hospital Medicine. 2017;78(12):699-704.
Itoh S, Okada H, Kuboi T, Kusaka T. Phototherapy for neonatal hyperbilirubinemia. Pediatrics International. 2017;59(9):959-66.
Abazari O, Shafaei Z, Divsalar A, Eslami-Moghadam M, Ghalandari B, Saboury AA, et al. Interaction of the synthesized anticancer compound of the methyl-glycine 1, 10-phenanthroline platinum nitrate with human serum albumin and human hemoglobin proteins by spectroscopy methods and molecular docking. Journal of the Iranian Chemical Society. 2020:1-14.
Tavakolizadeh R, Izadi A, Seirafi G, Khedmat L, Mojtahedi SY. Maternal risk factors for neonatal jaundice: a hospital-based cross-sectional study in Tehran. European Journal of Translational Myology. 2018;28(3).
Abazari O, Divsalar A, Ghobadi R. Inhibitory effects of oxali-Platin as a chemotherapeutic drug on the function and structure of bovine liver catalase. J Biomol Struct Dyn. 2020;38(2):609-15.
Babaei H, Parham S, Mohammadi Pirkashani L. Risk Factors of Severe Hyperbilirubinemia in Neonates Undergoing Exchange Transfusion in Imam Reza Hospital Kermanshah-Iran, during 2012 to 2016. International Journal of Pediatrics. 2018;6(8):8061-72.
Geller E, Wu J, Jannelli M, Nguyen T, Visco A. Neonatal outcomes associated with planned vaginal versus planned primary cesarean delivery. Journal of Perinatology. 2010;30(4):258-64.
Bulbul A, Cayonu N, Sanli ME, Uslu S. Evaluation of risk factors for development of severe hyperbilirubinemia in term and near term infants in Turkey. Pakistan journal of medical sciences. 2014;30(5):1113.
Boskabadi H, Navaei M. Relationship between delivery type and jaundice severity among newborns referred to Ghaem Hospital within a 6-year period in Mashhad. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2011;14(4):15-21.
Boskabadi H, Zakerihamidi M, Bagheri F. Outcomes of vaginal delivery and cesarean in Mashhad Ghaem University Hospital. Tehran University Medical Journal. 2014;71(12).
Seyedi R, Mirghafourvand M, Osouli Tabrizi S. The Effect of the Use of Oxytocin in Labor on Neonatal Jaundice: A Systematic Review and Meta-Analysis. International Journal of Pediatrics. 2017;5(12):6541-53.
Resende MC, Santos L, Silva IS. Neonatal morbidity in term newborns born by elective cesarean section. Acta medica portuguesa. 2015;28(5):601-7.
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