Cord blood albumin, a tool as predictor of neonatal hyperbilirubinemia requiring intervention

Abstract

Objective: To find out the clinical significance of cord blood albumin level as predictor of neonatal hyperbilirubinemia (NBH) that requires intervention. Methods: Prospective observational study of 100 newborns of age 1-7 days delivered at Silchar Medical College, Assam, India from July 2018 to June 2019. Cord blood for albumin (CBA) and venous blood for total serum bilirubin (TSB) were collected and tested. Co-relation of CBA and TSB that required intervention was done. Results: CBA≤ 2.8 g/dl is a high risk factor for significant NHB (p = 0.0005) requiring early intervention. 58.3% and 16.7% of study population having CBA 3.3 g/dl is probably safe for early discharge of newborns.

Keywords

• neonatal jaundice
• cord blood albumin
• serum bilirubin