1298 Predictive Value of Umbilical Cord Blood Bilirubin Level for Subsequent Hyperbilirubinemia in ABO Incompatibility. (October 2012)

• Record Type: Journal Article
• Authors: Bhat, D; Purohit, M
• Is Part Of: Archives of disease in childhood. Volume 97(2012)Supplement 2
• Page Start: A370
• Page End: A370
• Publication Date: 2012-10
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2012-302724.1298
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Objectives: To establish a correlation between umbilical cord blood bilirubin levels and the development of subsequent hyperbilirubinemia in healthy term newborn ABO incompatible infants of blood group "O" mothers. Subject & methods: One hundred consecutive healthy full term offsprings of ABO incompatible pregnancies and 30 controls resulting from O-O pregnancies were studied. Blood group and serm bilirubin estimations were carried out on cord blood and bilirubin estimation was further done at 36 hours of life. Results: Out of 100 cases in study group 33(33%) developed hyperbilirubinemia whereas only one (3.3%) out of 30 cases in control group developed hyperbilirubinemia. Majority of cases with hyperbilirubinemia i.e. 20 (60.6%) out of 33 cases, had cord bilirubin values between 2.5 to 2.99 mg/dl. Mean cord bilirubin values were significantly higher (2.27±U 0.76) in study group as compared to compared to control group (1.55±0.33). Conclusion: It is concluded that in ABO incompatibility the cord bilirubin value ≥ 2.5 mg/dl can serve as a useful cutoff limit for the later development of hyperbilirubinemia.