Effect of Phototherapy on Total Serum Magnesium Level in Neonatal Jaundice

Introduction: Neonatal jaundice is a common cause of morbidity encountered in the first week of life. Most preterm neonates develop clinical jaundice, and among term neonates, around eighty-five percent develop jaundice. Peak total bilirubin level >12.9 mg/dl is found in 6.1% of well-term newbor...

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Main Authors: Kamal Thani, Ganesh Kumar Rai
Format: Article
Language:English
Published: Karnali Academy of Health Sciences 2022-04-01
Series:Journal of Karnali Academy of Health Sciences
Subjects:
Online Access:http://jkahs.org.np/jkahs/index.php/jkahs/article/view/419
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author Kamal Thani
Ganesh Kumar Rai
author_facet Kamal Thani
Ganesh Kumar Rai
author_sort Kamal Thani
collection DOAJ
description Introduction: Neonatal jaundice is a common cause of morbidity encountered in the first week of life. Most preterm neonates develop clinical jaundice, and among term neonates, around eighty-five percent develop jaundice. Peak total bilirubin level >12.9 mg/dl is found in 6.1% of well-term newborns. Three percent of normal term infants have a total bilirubin level >15 mg/dl. Phototherapy is one of the main modalities of treatment of hyperbilirubinemia. A decrease in serum magnesium level is thought to be one of the side effects of phototherapy in neonatal jaundice. Objective: The objective of this study was to evaluate the difference in serum magnesium levels before and after phototherapy in neonates. Methods: A Descriptive study was conducted in the Neonatal Intensive Care Unit (NICU) and emergency ward of Kanti Children’s Hospital (KCH). Any neonate admitted with the diagnosis of neonatal jaundice in phototherapy and meeting inclusion criteria were included in the study. Data were analyzed using Statistical Package for Social Sciences (SPSS). Results: A Total of 54 neonates that needed phototherapy were enrolled in the study. The mean serum magnesium level before phototherapy was 2.02 ±0.25 mg/dl and it was 1.77 ±0.29 mg/dl after phototherapy. The difference was statistically significant with the p-value of <0.001 in both sexes and age groups of five days and lower. Conclusion: The mean serum magnesium level along with the mean total serum bilirubin level reduced significantly after phototherapy in neonates with hyperbilirubinemia irrespective of age, sex, and type of phototherapy.
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spelling doaj.art-327601ce07f54fd480408b733f5f79082023-10-31T15:30:54ZengKarnali Academy of Health SciencesJournal of Karnali Academy of Health Sciences2616-00642676-13272022-04-0151563Effect of Phototherapy on Total Serum Magnesium Level in Neonatal JaundiceKamal ThaniGanesh Kumar Rai Introduction: Neonatal jaundice is a common cause of morbidity encountered in the first week of life. Most preterm neonates develop clinical jaundice, and among term neonates, around eighty-five percent develop jaundice. Peak total bilirubin level >12.9 mg/dl is found in 6.1% of well-term newborns. Three percent of normal term infants have a total bilirubin level >15 mg/dl. Phototherapy is one of the main modalities of treatment of hyperbilirubinemia. A decrease in serum magnesium level is thought to be one of the side effects of phototherapy in neonatal jaundice. Objective: The objective of this study was to evaluate the difference in serum magnesium levels before and after phototherapy in neonates. Methods: A Descriptive study was conducted in the Neonatal Intensive Care Unit (NICU) and emergency ward of Kanti Children’s Hospital (KCH). Any neonate admitted with the diagnosis of neonatal jaundice in phototherapy and meeting inclusion criteria were included in the study. Data were analyzed using Statistical Package for Social Sciences (SPSS). Results: A Total of 54 neonates that needed phototherapy were enrolled in the study. The mean serum magnesium level before phototherapy was 2.02 ±0.25 mg/dl and it was 1.77 ±0.29 mg/dl after phototherapy. The difference was statistically significant with the p-value of <0.001 in both sexes and age groups of five days and lower. Conclusion: The mean serum magnesium level along with the mean total serum bilirubin level reduced significantly after phototherapy in neonates with hyperbilirubinemia irrespective of age, sex, and type of phototherapy. http://jkahs.org.np/jkahs/index.php/jkahs/article/view/419jaundicephototherapymagnesiumneonate
spellingShingle Kamal Thani
Ganesh Kumar Rai
Effect of Phototherapy on Total Serum Magnesium Level in Neonatal Jaundice
Journal of Karnali Academy of Health Sciences
jaundice
phototherapy
magnesium
neonate
title Effect of Phototherapy on Total Serum Magnesium Level in Neonatal Jaundice
title_full Effect of Phototherapy on Total Serum Magnesium Level in Neonatal Jaundice
title_fullStr Effect of Phototherapy on Total Serum Magnesium Level in Neonatal Jaundice
title_full_unstemmed Effect of Phototherapy on Total Serum Magnesium Level in Neonatal Jaundice
title_short Effect of Phototherapy on Total Serum Magnesium Level in Neonatal Jaundice
title_sort effect of phototherapy on total serum magnesium level in neonatal jaundice
topic jaundice
phototherapy
magnesium
neonate
url http://jkahs.org.np/jkahs/index.php/jkahs/article/view/419
work_keys_str_mv AT kamalthani effectofphototherapyontotalserummagnesiumlevelinneonataljaundice
AT ganeshkumarrai effectofphototherapyontotalserummagnesiumlevelinneonataljaundice