Background and Aim Serum bilirubin measurement is still the cornerstone method to assess hyperbilirubinemia in NN this method is invasive, painful, costly, needs more than one prick and may need to anemia due to repeated blood sampling.
Aim To compare trancutaneous bilirubin measurment with serum bilirubin.
Patients and Methods An average of three readings at different sites on the skin of NN using the bilirubinometer was taken babies included were FT, with indirect hyperbilirubinaemia, not exposed to phototherapy. blood samples were collected at the same time for comparison.
Results A total of 101 measurements for each method were performed 67 babies were > 2.5 kg, 34 babies were < 2.5 kg. Age range was few hrs to 14 days.
There was excellent matching between the two methods of bilirubin measurement regardless of gestational age, birth weight, sex, post natal age.
Conclusion Transcutaneous bilirubin measurement is an alternative reliable way to assess hyperbilirubinaemia that avoids the drawbacks of blood sampling It is highly recommended in OPD, ER, NNU.