Assessment Of Magnitude And Determinants Of Neonatal Jaundice Among Neonates Admitted To Neonatal Intensive Care Unit Of Dessie Town Public Hospitals Amhara Regionethiopia2020.
Background: Neonatal Jaundice is the most common clinical problems. Globally, every yearrnabout 1.1 million babies develop it and the vast majority were in sub-Saharan Africa and SouthrnAsia, and also it occurs frequently in newborn neonates in the first weeks of life..rnObjective:-The aim of this study was to assess Magnitude and Determinants of Neonatalrnjaundice Among Neonates admitted to Neonatal Intensive Care Unit (NICU) at Dessie TownrnPublic Hospital from March 30 April 30 /2020.rnMethod: A hospital-based cross-sectional study design was conducted and systematic randomrnsampling techniques were employed. A total of 218 samples were drowning proportionally from thernstudy hospitals.The Data was collected by prepared structured and pretested interviewer guidedrnquestionnaire and Checklist and the instrument tool was Adopted and modified after reviewrndifferent literature. Data were cleaned manually, coded, and entered into Epi-Data version3.1 andrnAnalyzed by SPSS version 24 statistical software. Bivariate and multivariate logistic regrationrnAnalyses were employed to identify associated factors for neonatal jaundice. After bivariaternRegression analysis a variable with P value less than 0.05 were included in multivariable logisticrnregression analysis. Adjusted odds ratio along with 95% CI was calculated to see the strength ofrnassociation factors, and also if less than 0.05 was taken as a level of statistical significance.rnResult: A total of 209 mothers/ neonate’s pairs participated in the study constituting responcel;’rnrate of 96%.The prevalence of neonatal jaundice was found to be 62(28.4%).Being NeonatalrnSepsis [(AOR=3.82(95%CI=1.67,8.09)], Prematurity< 37weeks [AOR=3.92, 95%CI=1.89,9.11)]rnLowAPGARscore[AOR8..36,95%CI=1.34,39.65)],ABOincompatibility[AOR=6.94(95%CI=1.9rn7,24.42)],Prolongedlabor[AOR=3.69(95%CI=1.05,12.94)]were found to be predictor of neonatalrnjaundice.rnConclusion and Recommendation:- The prevalence of neonatal jaundice in this study was high.rnWith regard to this high NNJ prevalence, there is need for health care providers in Dessie townrnpublic hospitals to put more emphasis on neonatal sepsis and ABO incompatibility all womenrntested early as possible during ANC follow up and if women blood group O should be alwaysrnconsidered ABO setup and also Professionals who are working in NICUs should Adhere tornaseptic technigues while carying and conducting neonatal invasive procedure.