A Study of Maternal Risk Factors and Investigative Profile in Neonatal Polycythemia in a rural tertiary care hospital in western Maharashtra
Abstract
Aims and objectives: To Study the Maternal Risk Factors and Investigative Profile in Neonatal Polycythemia.
Materials and methods: This is hospital based descriptive longitudinal prospective study in Dr. Vitthalrao Vikhe Patil Pravara Rural Hospital, Loni. It was carried out over a period of 1 year that is from September 2022 to September 2023. All neonates with venous hematocrit >65% or venous hemoglobin concentration of more than 22g/dl were included in study. Neonates with venous hematocrit <65% and Neonates with dehydration are excluded from the study.
Results: The most common maternal risk factor observed was PIH(52.3%) followed by GDM(19.7%), Multiple pregnancy(5.8%) and APH(4.6%). In the present study, we observed that most of the symptomatic babies presented with Hypoglycemia(82%), 75% babies presented with Jaundice.
Conclusion: So, babies with maternal risk factors like Hypertension, Diabetes, APH and Multiple Pregnancy should be actively screened. As most common laboratory anomaly is hypoglycemia in polycythemia babies it is important to closely monitor these infants in an effort to reduce morbidity and promote better growth, development, and survival.
Downloads
References
• Wirth FH, Goldberg KE, Lubchenco LO, Neonatal hyper viscosity: I Incidence. Pediatrics 1979; 63:833-836. Steves K, Wirth FH. Incidence of Neonatal hyper viscosity at sea level. J Pediatric 1980;97: 118-119.
• Hunbert JR, Abelson WE, Battaglia FC. Polycythemia in small for gestational age infants. J Pediatr 1969; 75: 812.
• Letsky EA. Polycythemia in the newborn. In : Text Book of Neonatology, 2nd Edn. Eds. Roberton NRC. Edinburgh, Churchill Livingstone, 1992; p 719 - 723.
• Gross GP, Hathaway WE, McGaughey HR. Hyperviscosity in the neonate. J Pediatr. 1973;82:1004 –1012.
• Ramamurthy RS, Berlanga M. Postnatal alteration in hematocrit and viscosity in normal and polycythemic infants. J Pediatr. 1987; 110:929 –934.
• Oh W, Lind J. Venous and capillary hematocrit in newborn infants and placental transfusion. Acta Paediatr Scand. 1966;55: 38 – 48.
• Care of the newborn 9th edition Meharban Singh chapter 23; page no. 459.
