NEONATAL JAUNDICE IN MALAYSIA

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NEONATAL JAUNDICE IN MALAYSIA

• Nur Anis Amira binti Mat Isa
• Norhidayah binti Danial

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characteristic

• The word 'Jaundice' is derived from the French
  word 'Jaune' meaning yellow.
• Jaundice is the yellowish discolouration of the
  skin caused by an increase of bilirubin in the
  blood.
• Neonatal jaundice is jaundice that occurs within
  the first month of baby's life.
• It is a very common and occurs in 50 of babies
  in the first week of life

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Types of jaundice

• Physiological (normal) jaundice
• Jaundice of prematurity
• Breastfeeding jaundice
• Breast milk jaundice
• Blood group incompatibility (Rh or ABO problems)

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Epidemiology

• March 03,2009 General Hosp.Kuala Lumpur,
• Malaysia
• 332 newborns 281 full term
• 51 premature
• In full term newborns 80
• In preterm newborns 20
• Severe cases in West Malaysia
• Higher incidence G6PD deficiency, phy
• jaundice, abnormal Hb.
• None need blood transfusion.

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• Mortality Statistic

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Etiology / Causes???

• Blood High RBC volume
• abnormal hb, shape function
• Blood group mismatch - ABO and Rh
  
• incompatibility
  
• Liver not adequately mature to process the
• the excess bilirubin
• Infection (Hepatitis B) or other
  defects
• Lack of G6PD glucose-6-phosphate dehydrogenase

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• Extensive bruising during birth
• Congenital infections (Toxoplasmosis, Rubella,
  Cytomegalovirus, Herpes Simplex, Syphilis etc)
• Breast-feeding - In a poorly feeding baby, bowel
  movements are infrequent and this prevents the
  bilirubin from being excreted in the stools.

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Complications

• Yellow skin eyes
• Dark colour of urine
• Kern icterus
• Fever
• Hyper / hypotonia
• High pitched cry
• Deafness
• Cerebral palsy
• Mental retardation

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Treatmentphototherapy (light therapy)Photothera
py using fibre-optic blankets exchange blood
transfusion
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phototherapy
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source

• World Health Organisation Statistical
• Information
• http//www.cureresearch.com/n/neonatal_
• jaundice/intro.htm
• http//content.karger.com/ProdukteDB/produkt
• e.asp?Doi207822
• http//www.healthline.com/galecontent/neonata
• l-jaundice
• http//www.medindia.net/patients/patientinfo/Neo
  nataljaundice.ht
• m
• http//www.myhealth.gov.my/myhealth/eng/kanak_con
  tent.jsp?lang
• kanaksub0bhsengstoryid1130124757464
• http//www.mymomsbest.com/?sjaundiceinnewborn
  
• http//www.babycenter.com/0_jaundice_89.bc?page3
  articlesection9
•  

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