Volume 35, Issue 8 (November 2024)
Studies in Medical Sciences 2024, 35(8): 636-643 |
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Maleki M R, Soleimannejad M, Sobhani thor S, Ghorbani A. VESTIGATING THE FREQUENCY OF JAUNDICE RISK FACTORS LEADING TO BLOOD EXCHANGE IN INFANTS ADMITTED TO QUDS HOSPITAL, QAZVIN, 2017–2022. Studies in Medical Sciences 2024; 35 (8) :636-643
URL: http://umj.umsu.ac.ir/article-1-6309-en.html
URL: http://umj.umsu.ac.ir/article-1-6309-en.html
Assistant Professor of Obstetrics Department, Baharlo Hospital, Tehran University of Medical Sciences, Tehran, Iran (Corresponding Author) , aghorbani@sina.tums.ac.ir
Abstract: (185 Views)
Background & Aims: Jaundice is a common condition in newborns caused by bilirubin accumulation, which can lead to severe complications, including brain damage. This study aimed to identify risk factors for severe jaundice requiring blood transfusion, as such procedures carry potential risks.
Materials & Methods: Data were reviewed for 3,266 infants admitted for jaundice at Quds Hospital in Qazvin from 2017 to 2022, of whom 49 required blood transfusions. Information was collected from medical records and maternal questionnaires.
Results: Among the 49 infants, 66% were male, 36% were preterm, and 49% were firstborn. The most common maternal blood type was O+ (20 cases), while A+ was the most frequent blood type among infants (21 cases). Notably, 71.4% of cases involved blood type incompatibility between the infant and mother. Delivery methods included 32 vaginal births and 17 cesarean sections. G6PD deficiency was present in 18% of the infants, and 78% of parents had no familial relationship.
Conclusion: ABO incompatibility was the primary cause of blood transfusion (19.94%), followed by Rh incompatibility (6.1%) and G6PD deficiency (5%). These findings highlight the importance of identifying and managing risk factors for severe jaundice to minimize the need for blood transfusion and its associated risks.
Materials & Methods: Data were reviewed for 3,266 infants admitted for jaundice at Quds Hospital in Qazvin from 2017 to 2022, of whom 49 required blood transfusions. Information was collected from medical records and maternal questionnaires.
Results: Among the 49 infants, 66% were male, 36% were preterm, and 49% were firstborn. The most common maternal blood type was O+ (20 cases), while A+ was the most frequent blood type among infants (21 cases). Notably, 71.4% of cases involved blood type incompatibility between the infant and mother. Delivery methods included 32 vaginal births and 17 cesarean sections. G6PD deficiency was present in 18% of the infants, and 78% of parents had no familial relationship.
Conclusion: ABO incompatibility was the primary cause of blood transfusion (19.94%), followed by Rh incompatibility (6.1%) and G6PD deficiency (5%). These findings highlight the importance of identifying and managing risk factors for severe jaundice to minimize the need for blood transfusion and its associated risks.
Type of Study: Research |
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کودکان (عمومی)
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