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Research ArticleOriginal Article
Open Access

Role of intravenous extra fluid therapy in icteric neonates receiving phototherapy

Reza Saeidi, Farhad Heydarian and Vahideh Fakehi
Saudi Medical Journal September 2009, 30 (9) 1176-1179;
Reza Saeidi
Department of Pediatrics, Ghaem Hospital, Mashhad, Iran.
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Farhad Heydarian
Department of Pediatrics, Ghaem Hospital, Mashhad, Iran.
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Vahideh Fakehi
Department of Pediatrics, Ghaem Hospital, Mashhad, Iran.
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Abstract

OBJECTIVE: To evaluate the role of intravenous extra fluid therapy in accelerating the reduction of jaundice in newborns who received phototherapy.

METHODS: This study was performed on 100 terms, jaundiced neonates who had a total bilirubin of 18mg/dl or more in the Pediatrics Ward of Ghaem Hospital, Mashhad, Iran from October 2007 to April 2008. The patients were randomly divided into 2 equal groups; group I (case group) were given extra parenteral fluid besides breast feeding, and group II (control group) received only breast milk. The rate of bilirubin decrement, length of hospital stay, and rate of blood exchange were compared.

RESULTS: The rate of serum bilirubin decrease per hour in the first 12 hours after admission in group I (0.41mg/dl [95%CI 0.1] versus 0.38mg/dl in group II [95% CI 0.3], [p=0.22]). It was 0.41mg/dl for group I (95% CI 0.0001), and 0.21mg/dl (95%CI 0.06) for group II in the second 12 hours (p=0.02). After 24 hours, it was 0.38mg/dl in group I (95% CI 0.0001), and 0.29mg/dl in group II (95% CI=0.09) (p=0.037). The mean hospital stay was 68.5 hours in group I, and 67.4 hours in group II (p=0.95).

CONCLUSION: Additional parenteral fluid therapy in icteric newborns can accelerate reduction in serum bilirubin levels in the first 24 hours.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 30 (9)
Saudi Medical Journal
Vol. 30, Issue 9
1 Sep 2009
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Role of intravenous extra fluid therapy in icteric neonates receiving phototherapy
Reza Saeidi, Farhad Heydarian, Vahideh Fakehi
Saudi Medical Journal Sep 2009, 30 (9) 1176-1179;

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Role of intravenous extra fluid therapy in icteric neonates receiving phototherapy
Reza Saeidi, Farhad Heydarian, Vahideh Fakehi
Saudi Medical Journal Sep 2009, 30 (9) 1176-1179;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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