Experience with neonatal exchange transfusion in northern Jordan

A review was condueted at Princess Rahma Pediatric Teaching Hospital during the past 6 years."386" Exchange Transfusion (ET) for neonatal hyperbilirubinemia were performed on "336" neonates.
- Only 25 babies(7.4%) were premature and the rest were full term.
- (11.6%) required more than ET. - ABO incompatibility with concomitant G6PD deficiency (19-3%).
- G6PD deficiency (18.8%).
- Rh. compatibility (11.9%).
- and Sepsis (8.6%).were major causes for ET.
- Complications occured in (14.7%) as : anemia.bradycardia,sepsis,cardiorespiratory arrest.
- We conclude that G6PD deficieney is significant cause of ET in our neonates either alone or concomitant with ABO isoimmunization.
- We advocate the use of prophylactic phototherapy for neonates B.wt.<2000 gm.
- and we recommend he use of antibiotics post-exchange transfusion to reduce sepsis.

Anahtar Kelimeler

-