Root causes for late presentation of severe neonatal hyperbilirubinaemia in Egypt
AbstractThis study aimed to understand the reasons for late presentation of cases of severe neonatal hyperbilirubinaemia. We administered a questionnaire to parents of 130 infants with severe jaundice admitted to Cairo University Children's Hospital neonatal intensive care unit at age >/= 6 days over an 18-month period. Although 125 infants [96.2%] were delivered in a health care facility, no discharge physical examination was performed in 99/125 cases [79.2%]. No parent was given instructions about neonatal jaundice and no follow-up appointments were scheduled. Parents of 109 infants sought medical advice prior to hospital readmission; most babies were assessed clinically, but serum bilirubin was measured in only one-quarter of cases [28/109]. Medical advice included placing the infant under a neon lamp at home [87/109 cases], advice to supplement breastfeeding [75/109] and prescribed medications, including vitamins [15/109]. Increasing the availability of inexpensive point-of-care diagnostic instruments and phototherapy units in health care facilities are urgently needed
Iskander, I., Gamaleldin, R. & Kabbani, M. (2012). Root causes for late presentation of severe neonatal hyperbilirubinaemia in Egypt. EMHJ - Eastern Mediterranean Health Journal, 18 (8), 882 - 887, 2012 http://www.who.int/iris/handle/10665/118550
JournalEMHJ - Eastern Mediterranean Health Journal, 18 (8), 882 - 887, 2012
Description882 - 887
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Ropero Alvarez, Alba Maria; Jauregui, Barbara; El Omeiri, Nathalie (2017-12)[ABSTRACT]. Maternal and neonatal immunization (MNI) is a core component of the new immunization model in the Americas, which transitioned from immunization of children to that of the entire family. Immunization during pregnancy protects the mother and the fetus by providing the neonate with maternal antibodies against disease. It has the potential to impact early childhood morbidity and mortality, and thus MNI has gained visibility and priority on the global health agenda. The Region of the Americas is a leader in MNI, as seen by its elimination ...