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NEONATAL JAUNDICE IN MALAYSIA

NEONATAL JAUNDICE IN MALAYSIA. Nur Anis Amira binti Mat Isa Norhidayah binti Danial. 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.

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NEONATAL JAUNDICE IN MALAYSIA

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  1. NEONATAL JAUNDICE IN MALAYSIA Nur Anis Amira binti Mat Isa Norhidayah binti Danial

  2. 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

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

  4. 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.

  5. Mortality Statistic

  6. 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

  7. 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.

  8. Complications ~ Yellow skin + eyes ~ Dark colour of urine ~ Kern icterus ~ Fever ~ Hyper / hypotonia ~ High pitched cry ~ Deafness ~ Cerebral palsy ~Mental retardation

  9. Treatmentphototherapy (light therapy)Phototherapy using fibre-optic blankets exchange blood transfusion

  10. phototherapy

  11. source ~ World Health Organisation – Statistical Information ~http://www.cureresearch.com/n/neonatal_ jaundice/intro.htm ~http://content.karger.com/ProdukteDB/produkt e.asp?Doi=207822 ~http://www.healthline.com/galecontent/neonata l-jaundice ~~http://www.medindia.net/patients/patientinfo/Neonataljaundice.ht m ~http://www.myhealth.gov.my/myhealth/eng/kanak_content.jsp?lang= kanak&sub=0&bhs=eng&storyid=1130124757464 ~http://www.mymomsbest.com/?s=jaundice+in+newborn ~http://www.babycenter.com/0_jaundice_89.bc?page=3#articlesection9

  12. Dekujumoc

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