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| Analysis of the influencing factors of hyperbilirubinemia of newborns |
| Zhoucun District People's Hospital, Zibo, Shandong province, 255300 |
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Abstract To understand the incidence of neonatal hyperbilirubinemia (NHB), and to study its influencing factors. Methods: 2748 newborns were selected and divided into NHB group and normal group according to the presence or absence of NHB from July 2016to July 2019. Logistic regression analysis was performed on the newborns in the two groups. Results: In the 2748 newborns, 357 newborns had NHB, which’s prevalence was 13.0%. Single factor analysis showed that the fetal age, birth weight, the rates of fetal asphyxia and lack of breast milk, time of first defecation, time to start breastfeeding, and infection of newborn rate were closely related to the incidence of NHB (P＜0.05). Multiple logistic regression analysis showed that the influencing factors of NHB were premature delivery, low birth weight, fetal asphyxia, lack of breast milk, time of first defecation, delay to start breastfeeding, and infection of newborn. Conclusion: The incidence of NHB is relatively high. Premature delivery, birth weight, fetal asphyxia, lack of breast milk, time of defecation >24h, delay to start breastfeeding, and infection of newborn are the risk factors of NHB. It is suggested that rational intervention on risk factors of NHB and monitoring of neonatal bilirubin should be conducted for reducing the risk of NHB.
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