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العنوان
Oxyctocin and neonatal hyperbilir/
الناشر
Tarek Mahmoud Khatab,
المؤلف
Khatab,Tarek Mahmoud
هيئة الاعداد
باحث / Tarik mahmoud khatab
مشرف / Ahmed A.khashaba
مشرف / Mohamed moustafa el bakry
مشرف / Neveen ahmed abd el hafeez
الموضوع
Pediatrics. hyperbilir.
تاريخ النشر
1991 .
عدد الصفحات
variety pages:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
1/1/1991
مكان الإجازة
جامعة بنها - كلية طب بشري - الاطفال
الفهرس
Only 14 pages are availabe for public view

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Abstract

creased
damage to red blood
solution (glucose
effect on values reports incidence of neonatal infant, others deny it
ex ri ci C c>nc7usion
its have suggested an increased incidence of stated that shortening of oxytocin for induction of
immaturity, anoxic liver transfusion,
Several repo neonatal jaundice
have
suggest
infants
been a
S rrwria r-
in
the
5%)
serum
ect
subj of controversy,
occurance of hyponatremia hyperbilirubinemia in the
following the use of
cells.
alone
bilirubin, serum sodium and hematocrite While some authors with increased corresponding
red
labour is usually damage,
the duration
of
by the use of
associated with liver enhanced placentofetal blood cell fragility and mechamical Also, the infused electrolyte free or as a vehicle for oxytocin and its
oxytocin. pregnancy
Some authors
The present study is a prospective study including 100 full term pregnant mothers and their newborns divided into three
administr groups to show the effect of oxytocin and intravenous fluid ation on serum bilirubin level in newborn infants.
98
Our findings imply that
has infusion of oxytocin during labour
a definite role in the pathogenesis of
a and this neonatal
The infusion
hyperbilirubinemi occurs in a dose dependent manner.
of large amount of electrolyte free fluid with ease
oxytocin increases its effect in
intravenous fluid only without ox to
ytocin was not shown produce the same effect. The peak of hyperbilirubinemia was found to be in the 4th day post-natally.
Some other factors in this study showed sign
relationship with serum bilirubin levels in the newborns ,
maternal gravidity and rns as
perinatal asphyxia. However regarding
may have been re reas in
gravidity s such as feedi
maternal gravidity the effect lated to
concomitant ox may
administration which causes such increase factor i level of serum bilirubin rather than the matavidity itself. Other
infant, contrace ng of the infant, maternal
ptive pill usa to age, sex of the
ge prior to Pregnancy and maternal
infants. ma
and fetal serum sodium did not affect serum bilirubin in newborn
It is concluded that maternal infusion with oxytocin has a definite dose dependant role in the pathogenesis of neonatal hyperbilirubinemia. Oxytocin should therefore be administered
99
with great caution in small doses when indicated in small
amounts of intravenous fluids and
as they may also play a secondary
role of lesser magnitude.