Hitit Medical Journal

Yazarlar: Raziye DUT

Konular:Tıp

Anahtar Kelimeler:Blood group,Newborn,Total bilirubin

Özet: Objective: Neonatal jaundice/hyperbilirubinemia is one of the common problems which has morbidity and mortality risk for newborns. In this study, maternal-newborn blood groups profiles, incompatibility and total bilirubin levels were evaluated. Material and Method: Between March 2009 and December 2013, 3261 mothers and newborns were included and blood groups and total bilirubin levels were analyzed retrospectively and cross-sectionally. Results: Totally, 934 cases were registered as result of both maternal and newborn blood group and total bilirubin were examined. The number of caesarean born was 1423 (80.2%); female gender 837 (47.2%) and 95.4% was single births. The birth weight was 2500-4000gr frequently and the discharged weights were 1585-4565gr. Maternal age was 20-47yrs and gestational age was 36-40 weeks (86.1%). The most common blood type in both maternal and newborn was ARh(+) and least ABRh(-). At least one blood group incompatibility was 18.5% and ABO incompatibility (15.1%) was the most freguent. The newborns of ORh(-) mothers’ 61.0% had Rh incompatibility. Whether the mother was ORh(+) 38.8% of newborns had ABO incompatibility, whether the mother was ORh(-) 39% of them had ABO incompatibility. The level of total bilirubin was higher in Rh incompatibility than no Rh incompatibility (p=0.032). It was observed that the level of bilirubin decreased with increasing gestational age. Conclusion: In this study, ABO incompatibility frequency was higher than Rh incompatibility but total bilirubin level was higher in Rh incompatibility group. Total bilirubin level was found 1.1 times lower in those with a gestational age of more than a week.

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