EFFECT OF PHOTOTHERAPY ON SERUM CALCIUM LEVEL IN HEALTHY TERM NEONATES WITH NON-HEMOLYTIC HYPERBILIRUBINEMIA

Dr. Rekha Kumari; Dr.Anisha Meena; Dr. A.L.Bairwa

Volume : VIII, Issue : VI, June - 2019

EFFECT OF PHOTOTHERAPY ON SERUM CALCIUM LEVEL IN HEALTHY TERM NEONATES WITH NON-HEMOLYTIC HYPERBILIRUBINEMIA

Dr. Rekha Kumari, Dr. Anisha Meena, Dr. A. L. Bairwa

Abstract :

Objective: To assess the effect of phototherapy on serum calcium level in healthy Term non-hemolytic hyperbilirubinemic neonates. .Method: This study was performed on 204 full-term healthy jaundiced neonates in which 137 male and 67 female that were managed with phototherapy. Serum calcium was checked on arrival and 48 hours after starting phototherapy. A prospective Hospital based study conducted in Govt.Medical college and attached group of Hospital from September 2017 to December 2018 to determine the effect of phototherapy induced hypocalcemia. Results: Out of 204 newborns, 148 newborns (72.50 %) developed hypocalcemia after 48 hours of starting phototherapy. There was reduction in serum calcium level after phototherapy but was no significant hypocalcemia present. None of them were symptomatic. Conclusion: The study showed that no significant hypocalcemia present after phototherapy in healthy full term neonate. However, we recommended monitoring serum calcium level during and after phototherapy and we do not use prophylactic calcium in term healthy neonate.