Abstract:

Purpose: to investigate the impact of the time of dismissal in babies with a week of pregnancy ≥35 due to hyperbilirubinemia on re-hospitalization. In our Hospital, from January 2010 to June 2011, all babies with a pregnancy period of ≥35 weeks and treated by deposit due to yellowness were taken to study. Patients recorded the etiology, clinic, laboratory characteristics and the applied treatments. The bilirubin values were compared with the time of the mother-baby couple was dismissed. Results: 222 babies that meet the criteria were evaluated during the study period. The most frequently identified causes in the hyperbilirubinemian ethology study were ABO disagreement 66 (29.7 %), Rh disagreement 19 (8.6 %) and pathological loss 19 (8.5 %). In 90 of babies (40.6 percent) no ethological cause was found. It was found that pathological loss has a significant effect on the total serum bilirubin (TSB) (p: 0,014). A significant negative correlation between ABO and TSB values was found (p<0,001), but the birth days of babies with ABO disadvantages were found to be significantly shorter (p<0,001). It was found that the days of arrival to the hospital of babies with pre-expedition clothes were significantly shorter (p<0,001) and the TSB values were significantly lower (p<0,001). The average time of delivery of 184 babies after birth was 32.9±20 hours (5-120 hours). There is no significant impact on the TSB values of the postpartum hospital time. The average expulsion time in our hospitals, other public hospitals and private hospitals was 37.7±22 hours, respectively 34.6±19.8 hours and 25.1±14.7 hours. The average time of calling for control was determined in our hospitals, other public hospitals and private hospitals, respectively 4±2,1 days, 5±3,2 days and 5,3±3,6 days. The postpartum hours of babies born in our hospital were significantly longer than the babies born in a private hospital (p: 0,001) and the check-in days of babies born in our hospital were significantly shorter than those born in a private hospital (p: 0,019). The result: Our study did not have a negative impact on the level of hyperbilirubinemia in the coming postpartum time. It has been identified that pathological intestinal loss and ABO inadequacy are risk factors for the development of hyperbilirubinemia. In our hospital, it was determined that the time of expulsion was later and the time of calling for control was earlier, according to the private hospitals.

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