Severe XXXX ; causes and contributing factors leading to exchange transfusion at Ghaem Hospital in Mashhad.

@entity1 @entity295 @entity4629 @entity648 @entity34372 @entity3638 @entity293
@entity3638 is common in neonates; it can have a serious rising course. Due to its critical morbidity called "kernicterus", severe @entity4629 causes which lead to exchange transfusion, should be clarified. This descriptive cross sectional study performed with reviewing of files of 118 neonates weighting 2kg and more who had exchange transfusion in pediatrics ward at Ghaem training hospital in Mashhad from April 2004 to March 2007. Among 118 @entity1 , 75 (63.6%) were male, and 43 @entity1 (36.4%) were female. The most common cause of exchange transfusion was ABO incompatibility (38.1%). In order of frequency, unknown etiology (25.4%), @entity34372 (16.1%) with no immune hydrops, @entity295 (8.5%), @entity293 (5.1%) and others (3.4%) (Including Crigler-Najjar and cephalohematoma) were next ones. Vaginal delivery and exclusive breast feeding were detected as associated factors. Mean serum @entity648 levels was 28.7 mg/dl (SD. 9.2) ABO incompatibility. ABO incompatibility was the main cause of exchange transfusion. Male gender, vaginal delivery and exclusive breast feeding were seen more among @entity1 who need to be exchanged. So in case of ABO incompatibility especially when delivery route is vaginal, newborns should be visited soon again after early discharge from hospital.
