The relationship between intensive phototherapy and neonatal jundice

One of the most prevalent clinical conditions is hyperbilirubinemia, which is a common clinical problem encountered during the neonatal period, especially in the first week of life. To assess the efficacy of intensive phototherapy on treatment neonatal jaundice and it’s relation with the frequency of the exchange transfusion and its complications. A cross sectional observation study conducted on neonate admitted to Al-Imamein Al-Kadhimein Medical City, during the period from the 1st of January 2017to 31th of December 2017,117 was with neonatal jaundice, and second group during period 1st of January 2013to 31th of December 2013, with 162 having neonatal jaundice . The information taking from the case sheets. A 2 groups of neonates having jaundice attending Al-Imamein Al-Kadhimein medical city, in 2013 was with male: female ratio =1.5:1, while in 2017 was with male: female ratio =1.7:1. There is significant reduction in breast feeding in 2013 was (55.6%), while in 2017 was (27.3%). There is significant reduction in exchange transfusion in 2013 was 62(%), while in 2017 was (%). There is significant reduction in day of hospitalisation by using intensive phototherapy (mean day of hospitalisation =2.31), while by using exchange transfusion (mean day of hospitalisation = 7.1). Regarding to complications there is no significant complications with intensive phototherapy (skin rash, diarrhoea, dehydration) was (50%, 4%, 7%) respectively. The use of intensive phototherapy in treatment of neonatal jaundice is very effective in lowering TSB and in reduction of the frequency of exchange transfusion, with low days of hospital stay and low risk of complications.